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目的:探讨颈内动脉海绵窦瘘血管内球囊栓塞治疗之效果。方法:7例病人(5例外伤性,2例自发性)均行DSA全脑血管造影明确瘘口部位。结果:7例中5例球囊栓塞成功,保持了颈内动脉的通畅。1例行患侧颈内动脉闭塞。另1例属D型,栓塞效果不满意。结论:海绵窦瘘全脑血管造影可明确瘘口部位、大小及分型。单纯性海绵窦瘘大部分为外伤性,首选治疗方法是血管内球囊栓塞治疗。
Objective: To investigate the effect of endovascular balloon embolization of internal carotid cavernous fistula. Methods: Seven patients (5 traumatic and 2 spontaneous) underwent DSA angiography to confirm the site of fistula. Results: In 7 cases, balloon embolization was successful in 5 cases, and the patency of the internal carotid artery was maintained. 1 routine ipsilateral carotid artery occlusion. Another case of D-type, embolization effect is not satisfied. Conclusion: Cavernous sinus fistula with cerebral angiography can confirm the location, size and type of fistula. Most of the simple cavernous fistula trauma, the preferred treatment is endovascular balloon embolization.