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目的 探讨颈内动脉海绵窦瘘的血管内栓塞治疗。方法 对 18例外伤性颈内动脉海绵窦瘘患者 ,全部经皮股动脉穿刺行全脑DSA检查确诊 ,用可脱球囊进行栓塞治疗。结果 18例患者全部栓塞成功 ,其中 15例同时保持颈内动脉通畅 ,1例CCF瘘口较大 ,2例球囊进入瘘口困难 ,改行闭塞瘘口的同时栓塞同侧颈内动脉。术后除 1例患者眼睛失明未恢复外 ,其余病例临床症状及体征完全消失。结论 血管内栓塞技术是目前治疗CCF的最好方法 ,具有损伤小 ,安全性高 ,疗效可靠等特点
Objective To investigate the treatment of internal carotid cavernous fistula by endovascular embolization. Methods 18 cases of traumatic carotid cavernous fistula patients, all the percutaneous femoral artery puncture line DSA confirmed by whole brain, with detachable balloon embolization. Results Embolization was successful in all 18 patients. Fifteen of them maintained the carotid artery unobstructed at the same time. One case of CCF had a large fistula and two cases had difficulty in entering the fistula. The occlusion of the fistula and embolization of the ipsilateral internal carotid artery were performed. In addition to blindness after 1 patient did not recover, the remaining cases of clinical symptoms and signs completely disappeared. Conclusions Endovascular embolization is the best method for treating CCF at present. It has the characteristics of small injury, high safety and reliable curative effect