摘要
目的探讨颈内动脉闭塞术治疗外伤性颈内动脉虹吸段病变导致的顽固鼻腔大出血的临床效果。方法回顾性分析栓塞治疗的37例外伤性颈内动脉虹吸段假性动脉瘤或颈内动脉海绵窦瘘导致的顽固性鼻腔大出血患者的临床资料。37例中男34例,女3例;年龄25~65岁,平均40岁。12例栓塞病变而保持颈内动脉通畅,25例行患侧颈内动脉闭塞术。结果36例患者术后未发生鼻腔再出血,痊愈出院。1例颈内动脉栓塞患者,因Willis环侧支循环代偿不良发生大面积脑梗死,于术后48h死亡。结论Willis环侧支循环代偿良好的颈内动脉性顽固鼻腔大出血,仅消除病变不能达到理想效果时,栓塞患侧颈内动脉,可以快捷简便的挽救患者生命。
Objective To evaluate the clinical value of internal carotid artery occlusion in treatment of intractable epistaxis caused by carotid artery siphon traumatic lesions. Methods A total of 37 patients with intractable epistaxis caused by traumatic carotid artery siphon pseudoaneurysm or carotid cavernous fistula were retrospectively analyzed. All the patients underwent embolization from October 1998 to June 2010, including 34 men and 3 women with the age ranged from 25 to 65 years and a average of 40 years. Only lesions were occlued in 12 cases without involving the internal carotid artery, while occlusions of internal carotid artery were performed in the rest 25 cases. Results Thirty-six patients were cured without recurrent hemorrhage after embolization. Only 1 patient with carotid artery occlusion died 48 hours after operation. Conclusion For patients with carotid arterial intractable epistaxis, if the elimanation of the lesions is not applicable and the collateral circulation of Willis ring has a good compensation, the use of detachable balloon or coil occlusion of ipsilateral internal carotid artery is a quick and easy method to save patients' lives,
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2012年第3期257-259,共3页
Chinese Journal of Radiology
基金
山东省科技发展项目(2006GG3202018)
关键词
鼻出血
动脉瘤
假性
颈内动脉海绵窦瘘
栓塞
治疗性
Epistaxis
Aneurysm, false
Carotid-cavernous fistula
Embolization,therapeutic