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[外伤性颈内动脉海绵窦瘘的诊断与治疗]

[The diagnosis and treatment of traumatic carotid-cavernous fistula].

作者信息

Feng Zhengjian, Li Jianwen, Ding Xiao

机构信息

Department of Neurosurgery, Center Hospital of Jiangmen 529000, China.

出版信息

Yan Ke Xue Bao. 2002 Jun;18(2):104-6.

PMID:15510648
Abstract

PURPOSE

To detect the value of digital subtraction angiography (DSA) and intra-vessel embolism in diagnosing and treating traumatic carotid-cavernous fistula (TCCF).

METHOD

9 cases with TCCF characteristic of pulsating exophthalmos, who were checked by DSA and treated by detachable balloon technique, were analyzed retrospectively.

RESULT

Carotid-cavernous fistula of these patients was observed with DSA and occluded with intra-vessel embolism successfully. The carotid artery remained unobstructed postoperatively. No severe complication was observed.

CONCLUSION

DSA was one of the best ways to make a correct diagnosis of TCCF and intra-vessel embolism, to give a successful therapy.

摘要

目的

探讨数字减影血管造影(DSA)及血管内栓塞术在创伤性颈动脉海绵窦瘘(TCCF)诊断和治疗中的价值。

方法

回顾性分析9例具有搏动性眼球突出特征的TCCF患者,均行DSA检查并采用可脱性球囊技术治疗。

结果

DSA观察到这些患者的颈动脉海绵窦瘘,血管内栓塞术成功闭塞瘘口。术后颈内动脉通畅,未观察到严重并发症。

结论

DSA是正确诊断TCCF及实施血管内栓塞术成功治疗的最佳方法之一。

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