颅面部骨折伴发颈动脉海绵窦瘘的临床研究

本研究探讨创伤后颈动脉海绵窦瘘与颅面骨折的关系，本组４９例，男性４０例，女性９例。结果表明，以车祸作最为多见（６５．３１％）骨折部位以颅顶骨折合并颅底骨折多见（４６．９％），伤后出现ＣＣＦ的间隔时间大多在１个月内（６９．４％）临床表现为搏动性突眼，球结膜水肿，颅内杂音及眼肌麻痹等。所有病人经脑血管造影明确诊断并行血管内治疗，瘘口闭塞并保持颈内动脉通畅４２例，颈内动脉闭塞７例；经动脉途径４６例，经胸

Clinical study of skull-facial boon fracture associated with carotid-cavernous fistula

Skull-facial boon fracture associated with carotid-cavernous fistula was studicd in 49patient. Fifty cases were male and nine were female. The result showed that traffic accident was the maincause (65. 3% ); and 23 cases of 49 cases had skull fracture associated with cranial fracture. The time be-tween trauma and onset of symptoms was from a few hours to several months, most in a month (69. 4 % ).The clinical presentaion of CCF mclndes protosis, chemosas and interocranial bruit. All patients under-went angiography and endovascular treatment. The fistula was embolized in 42 patients and 7 cases weretreated with balloon occlusion of mternal carotid artery. Transoartery approach was applied in 46 pa-tients. transovenous approach in 1 patient, and transoartery-venous approach in 2 patients. The result wassatisfactory.