头颈部创伤性假性动脉瘤的介入治疗

Interventional treatment of traumatic pseudoaneurysm of the head and neck

目的 探讨使用血管内介入的方法治疗创伤性假性动脉瘤的疗效。方法 对近10年单纯用介入栓塞的方法治愈的头颈部创伤性假性动脉瘤2l例进行回顾性分析，均经血管造影确诊有血管壁损伤并在血管外形成囊腔，假性动脉瘤的位置分别是：10例位于颈内动脉，8例位于颈外动脉，3例位于锁骨下动脉／推动脉。分别用带纤毛的铂金微弹簧圈、可脱性微球囊、电解可脱性弹簧进行栓塞。结果 单纯闭塞动脉瘤保留载瘤动脉通畅的13例，同时闭塞动脉瘤和载瘤动脉的有8例，1例出现术后视力下降，无其他并发症；术后随访6～24月，无复发表现。结论 对头颈部创伤性假性动脉瘤，经血管内介入栓塞是一种安全有效的方法。

Objective To observe the efficacy of interventional treatment of peripheral traumatic pseudoaneurysm. Methods The retrospective study was performed on 21 patients with traumatic pseudoaneurysms undergone interventional treatment during the pass 10 years. Digital subtraction angiography （DSA） showed the rupture of traumatic arteries and the formation of the cysts. The lesions included 10 pseudoaneurysm of internal carotid artery, 8 of external carotid artery and 3 of subclavian artery. All the patients were performed by endovaseular embolotherapy. The embolic agents included coils（with fibered）, detachable balloons, Gugliernlmi detachable coil（GDC/Fibered GDC） . Results All the patients were cured via endovascular embolotherapy without operation. The pseudoaneurysms were embolized with preservation of the parent artery in 13 cases. The others were embolized with sacrifice of the parent artery. No relapse was found during follow-up period（range 6 mouths-24 mouths） among 21 cases. Conclusion Interventional treatment is a good therapeutic method for traumatic pseudoaneurysms of the head and neck, especially for serious and emergent patients.