颈内动脉海绵窦的治疗及其解剖基础

目的探讨颈内动脉海绵窦瘘的治疗 ,着重分析引流静脉与海绵窦的解剖结构之关系。方法回顾性的分析经DSA血管造影确诊的颈内动脉海绵窦瘘 76例 ,观察分析颈内动脉海绵窦瘘的引流静脉的显示情况及其解剖学基础。其中 2 1例行可脱性球囊、微弹簧圈血管内栓塞治疗 ,5例行外科手术。结果 76例均经DSA血管造影作出了准确的诊断。 2 6例经血管内栓塞治疗和外科治疗后症状和体征消失。结论正确认识CCF的引流静脉与海绵窦解剖之关系 ,有助于正确合理的选择CCF的治疗方式。

Methods of the treatment of intenal carotid-cavernous fistula and its anatomy

Objective To investigate the diagnosis and treatment of internal carotid-cavernous fistulae(CCF),and theemphasis is to analyse the relationship between venous drainage and anatomy of cavernous sinus.Methods 76 cases of CCF were reviewed ,digital subtraction angiography(DSA) of cerebral arteries was carried out for diagnosis of all 76 cases ,and the anatomy of their venous drainage was studied. of them, detachable balloon and microcoil were used for intravascular embolism treatment in 21 cases, and 5 cases were treated surgically. Results All 76 cases were diagnosesd by DSA. The symptoms and signs of CCF disappeared after treatment in 26 cases. Conclusion It is very helpful to select the methods of treatment of CCF to analyse their relationship between venous drainage and cavernous anatomy properly.