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颈动脉一海绵窦瘘
引用本文:葛钧,黄菊天,戴黎萌,彭伟.颈动脉一海绵窦瘘[J].中国实用眼科杂志,2003,21(7):550-552.
作者姓名:葛钧  黄菊天  戴黎萌  彭伟
作者单位:1. 深圳市人民医院眼科,518020
2. 深圳市人民医院神经外科,518020
摘    要:目的:探讨31例TCCF及5例SCCF的临床特点与疗效。方法:回顾性地分析该病的诊断和治疗方法。结果:24例TCCF经血管内栓塞治疗后有22例。症状及体征消退,瘘口消失(治愈率91.7%)。好转2例(8.3%),症状和体征减轻,瘘口基本闭塞。5例SCCF经保守治疗。效果良好。结论:DSA检查及血管内栓塞技术是较理想的诊断及治疗方法。

关 键 词:颈动脉海绵窦瘘  回顾性地分析  诊断  治疗  搏动性突眼
修稿时间:2002年12月1日

Carotid - cavernous fistula
GE Jun,HUANG Jutian,DAI Limen,PENG Wei.Carotid - cavernous fistula[J].Chinese Journal of Practical Ophthalmology,2003,21(7):550-552.
Authors:GE Jun  HUANG Jutian  DAI Limen  PENG Wei
Institution:GE Jun,HUANG Jutian,DAI Limen,PENG WeiDepartment of Ophthalmology,Neurosurgery,Shenzhen Hospital,Shenzhen 518020,China
Abstract:To evaluate the clinical features and the treatments of traumatic carotid-cavernous fistula (TCCF) and spontaneous carotid-cavernous fistulas (SCCF). Methods:The diagnoses and therapeutic outcomes of TCCF and SCCF were analyzed. Results:All CCF cases were diagnosed by Digital subtraction angiography (DSA).24 cases of TCCF were treated by intra-vascular releasable embolization,in which the carotid fistulas of 22 cases were occluded completely with symptoms and signs disappeared,and 2 cases were occluded fundamentally with clinical damages decreased remarkably.5 cases of SCCF got better therapeutic outcomes by conservative therapy. Conclusions:The cerebral artery DSA and intravascular therapy are ideal methods for the diagnosis and treatment of CCF.
Keywords:Carotid-cavernous fistula  Exophthalmos  DSA  Intravascular releasable embolization  
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