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海绵窦段颈内动脉瘤
引用本文:段传志,李铁林,张世忠.海绵窦段颈内动脉瘤[J].中国微侵袭神经外科杂志,1997(3).
作者姓名:段传志  李铁林  张世忠
作者单位:第一军医大学珠江医院神经外科,第一军医大学珠江医院神经外科,第一军医大学珠江医院神经外科 广州 510282,广州 510282,广州 510282
摘    要:目的:探讨海绵窦段颈内动脉瘤的发生机理、临床表现及诊断治疗。方法:12例病人应用微导管插管技术,在数字减影脑血管造影(DSA)监视下,用球囊对海绵窦段颈内动脉瘤行血管内栓塞治疗。结果:12例病人均一次栓塞成功,栓塞后症状消失,其中4例病人视力改善,2例失明病人视力分别恢复至0.1及0.3。1例于栓塞后1年出现患侧末梢血管脑梗塞,表现为对侧肢体瘫痪,积极治疗后恢复。结论:应用可脱性球囊血管内栓塞动脉瘤近端载瘤动脉是治疗本病的有效手段。

关 键 词:海绵窦  颈内动脉瘤  球囊  栓塞

Intracavernous internal carotid aneurysms
Duan Chuanzhi,Li Tielin,Zhang Shizhong.Intracavernous internal carotid aneurysms[J].Chinese Journal of Minimally Invasive Neurosurgery,1997(3).
Authors:Duan Chuanzhi  Li Tielin  Zhang Shizhong
Institution:Duan Chuanzhi,Li Tielin,Zhang Shizhong Department of Neurosurgery,Zhujiang Hospital,First Military Medical University
Abstract:To discuss rhe pathogenesis, pathology, clinical presentation, diagnosis and treatment of intracavernous internal carotid aneurysms. Method: Under supervision of digital subtraction angiography (DSA),12 cases of intracavernous carotid aneurysms, were treated with balloon em-bolization via endovascular approach. Result: All of the 12 cases were completely cured and gain significant improvement of clinical symptoms, 2 blind patients had regained their vision to 0. 1 and 0. 3. Conclusion: To treat intracavernous internal carotid aneurysm by endovaseular em-bolization is an effective therapeutic method.
Keywords:intracavernous internal carotid aneurvsm embolization balloon
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