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目的探讨外伤性颈内动脉海绵窦瘘(TCCF)血管内可脱性球囊栓塞治疗的临床疗效。方法回顾性分析2002年3月～2008年9月诊治的TCCF病例22例,采用Seldinger技术,经股动脉插管,先行全脑血管造影,通过MagicPD导管将球囊送入瘘口,使球囊充盈闭塞瘘口。结果20例术中成功栓塞瘘口且颈内动脉通畅,2例行患侧颈内动脉闭塞。术后10d2例患者发生球囊早泄,再次行球囊栓塞治疗成功。22例患者术后眼部症状及颅内杂音均消失或减轻。结论血管内可脱性球囊栓塞是治疗TCCF的有效方法。
Objective To investigate the curative effect of transcatheter closure of traumatic carotid-cavernous fistula (TCCF) in patients with endovascular embolism. Methods A retrospective analysis of 22 patients with TCCF diagnosed and treated from March 2002 to September 2008 was performed. Seldinger technique was used. After the femoral artery was cannulated, the whole cerebrovascular angiography was performed and the balloon was inserted into the fistula through the MagicPD catheter. The balloon Filled occlusion fistula. Results 20 cases of successful embolization fistula and internal carotid artery patency, 2 cases of ipsilateral carotid artery occlusion. Two patients had balloon premature ejaculation 10 days after operation and balloon balloon embolization was performed again. Twenty-two patients had ocular symptoms and intracranial murmurs disappearing or relieving. Conclusion Endovascular removable balloon embolization is an effective method for the treatment of TCCF.