引用本文:蓝胜勇,庞 刚,钟 书,唐玺和,陈海浚.创伤性颈内动脉海绵窦瘘血管内介入治疗效果分析[J].中国临床新医学,2019,12(6):597-599.
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创伤性颈内动脉海绵窦瘘血管内介入治疗效果分析
蓝胜勇,庞 刚,钟 书,唐玺和,陈海浚
530021 南宁,广西壮族自治区人民医院神经外科
摘要:
[摘要] 目的 分析创伤性颈内动脉海绵窦瘘(TCCF)血管内介入治疗的疗效。方法 回顾性分析30例TCCF血管内介入治疗的效果。结果 30例患者中使用可脱弹簧圈加Onyx胶治疗21例(70.0%),覆膜支架治疗1例(3.3%),可脱球囊治疗8例(26.7%),手术均获成功。术后随访2年以上,均无严重并发症和术后复发。结论 TCCF血管内介入治愈率高,并发症较少,治疗成功的关键在于采用合适的手术方案及材料的选择和应用。
关键词:  创伤性颈内动脉海绵窦瘘  介入治疗  并发症
DOI:10.3969/j.issn.1674-3806.2019.06.04
分类号:R 653
基金项目:
Endovascular intervention therapy of traumatic carotid-cavernous fistulas
LAN Sheng-yong, PANG Gang, ZHONG Shu, et al.
Department of Neurosurgery, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Objective To evaluate the clinical effects of endovascular intervention therapy on traumatic carotid-cavernous fistulas(TCCF). Methods The therapeutic effect was retrospectively analyzed in 30 TCCF patients receiving endovascular intervention therapy. Results Among the 30 cases, Coils and Onyx were used in 21 cases(70.0%), a covered stent in 1 case(3.3%), and a detachable balloon in 8 cases(26.7%), and no severe complications occurred after a follow-up for more than 2 years. Conclusion The endovascular intervention has high success and low complication rates in treatment of TCCF. The key to the success of the treatment lies in the selection and application of appropriate surgical procedures and materials.
Key words:  Traumatic carotid-cavernous fistulas(TCCF)  Intervention therapy  Complications