复发性、难治性颈内动脉海绵窦瘘的治疗

Treatment of recurrent and refractory carotid-cavernous fistula

目的:探讨复发性、难治性颈内动脉海绵窦瘘的治疗。方法:6例复发性、难治性颈内动脉海绵窦瘘患者,采用经皮股动脉径路、可脱球囊栓塞,其中2例结合开颅手术治疗。结果:6例复发性、难治性颈内动脉-海绵窦瘘患者主要症状消失,1例患侧失明未恢复。结论:可脱球囊手术闭塞患侧颈内动脉或结合开颅手术进一步孤立瘘口的方法对治疗复发性、难治性颈内动脉海绵窦瘘有一定的价值。

Objective：To explore the treatment of recurrent and refractory carotid-cavernous fistula.Methods：6 patients were treated with endovaseular occlusion by detachable balloon,2 of them were treated with detachable balloon and neurosurgical procedure. Results：The symptom of all patients disappeared and all the patients became free except for one patient who remained blind after the therapy.Conclusion：Endovascular embolization with detachable balloon and neurosurgical procedure are valurable for treating recurrent and refractory earetid-eavernous fistula.