外伤性颈动脉海绵窦瘘的血管内栓塞治疗

Treatment effects of intravascular embolization on traumatic carotid cavernous fistula

目的 探讨外伤性颈动脉海绵窦瘘的血管内栓塞的治疗效果。方法 对50例颈动脉海绵窦瘘中的45例采用可脱性球囊栓塞，另5例采用铂金微弹簧圈栓塞。结果 本组均治愈，45例随访1-10年无复发。5例铂金微弹簧圈栓塞病例中，1例发生轻度脑干缺血，留有轻度肢体偏瘫，轻度吞咽困难，术后3个月逐渐恢复。其余无神经系统功能障碍。结论 血管内栓塞治疗外伤性颈动脉海绵窦瘘具有微创、安全、效果可靠等优点，可脱性球囊栓塞是治疗本病的有效方法。

Objective To study the effects of intravascular embolization on traumatic carotid cavernous fistula in 50 cases. Methods Among 50 patients with TCCF,45 cases were treated by detachable balloons,and the other 5 cases by GDC. Results AII the cases were cured. Forty-five cases were followed up for 1 - 10 years with no recurrence. Among 5 patients treated by embolization with GDC, 1 case developed slight brainstem ischemi, hemiparesis and dysphagia,but the case recovered gradually 3 months after the operation. No neurological deficit was found in all the cases. Conclusion The results suggested that intravascular embolization of traumatic carotid cavernous fistula is non-invasive, safe, effective and reliable. The detachable balloon technique is the first choice in the treatment of TCCF.