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目的探讨创伤性TCCF所致搏动性眼球突出最佳治疗方法。方法分别采用开颅行颈部颈内动脉结扎和颅内动脉结扎；开颅行海绵窦内铜丝堵塞瘘口术；用介入治疗方法行微弹簧圈TCCF栓塞术。结果颈内动脉，海绵窦瘘孤立手术2例治愈，但术后眼球回缩迟缓。铜丝血栓凝固术2例，术后出现严重头痛月余。微弹簧圈栓塞20例，搏动性突眼立即或逐渐消失。结论微弹簧圈栓塞是治疗TCCF致搏动性突眼的有效方法。
Objective To investigate the best treatment of pulsatile eyeball protrusion caused by traumatic TCCF. Methods Cervical internal carotid artery ligation and intracranial artery ligation were performed in craniotomy. Craniotomy was performed by intracranial cavernous wire in craniotomy. TCCF embolization was performed by interventional therapy. Results Two cases of internal carotid artery and cavernous sinus fistula were treated in isolation, but the retraction of the eyeball was slow. Copper thrombus coagulation in 2 cases, severe headache after more than a month. Micro-coil embolism in 20 cases, pulsating sudden or immediate disappear. Conclusion Micro-coil embolization is an effective method for the treatment of thrombosis induced by TCCF.