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22例颈动脉海绵窦瘘的诊治分析

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摘要 目的:探讨颈动脉海绵窦瘘(CCF)的临床特点及不同治疗方法的疗效。方法回顾性分析行经全脑数字减影血管造影(DSA)证实的 CCF 病例22例,其中4例行单纯颈动脉压迫治疗,18例行血管内栓塞治疗。结果行颈动脉压迫治疗的4例中有1例3个月后临床症状完全消失,5个月后复查 DSA 显示瘘口闭塞;另外3例临床症状不同程度的加重,后均选择血管内栓塞治疗,2例用微弹簧圈栓塞治疗、1例用可脱性球囊栓塞治疗后瘘口均闭塞。18例行血管内栓塞治疗中有10例用可脱性球囊栓塞治疗,3例用可脱性球囊联合微弹簧圈栓塞治疗,2例用微弹簧圈联合 ONXY 胶栓塞治疗,2例用微弹簧圈栓塞治疗,1例用 ONXY 胶栓塞治疗。1例行可脱性球囊栓塞治疗2周后出现复发,予以微弹簧圈联合 ONXY 胶栓塞治疗。22例随访6个月~2年,未再出现复发病例。结论血管内栓塞是治疗 CCF 很有效的方法,充分利用可脱性球囊、微弹簧圈、ONXY 胶等不同栓塞材料,可减少栓塞的复发率,提高 CCF 的治愈率。
出处 《南昌大学学报(医学版)》 CAS 2014年第2期59-62,65,共5页 Journal of Nanchang University:Medical Sciences
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参考文献11

  • 1Tjoumakaris S I,Jabbour P M, Rosenwasser R H. Neuroendo- vascular management of carotid cavernous fistulae[J]. Neuro surg Clin N Am,2009,20(4):447- 452.
  • 2Das J K, Medhi J, Bhattacharya P, et al. Clinical spectrum of spontaneous carotid cavernous fistula[J]. Indian J Opthalmol, 2007,55( 4):310 -312.
  • 3田喜光,段传志,李铁林.自发性颈动脉海绵窦瘘研究进展[J].实用医学杂志,2002,18(3):328-329. 被引量:8
  • 4黎劭学,陈锦华,黄胜平.球囊闭塞试验的适应证以及相关并发症的预防[J].中华耳鼻咽喉头颈外科杂志,2011,46(4):350-352. 被引量:9
  • 5Alien J W,Alastra A J,Nelson P K. Proximal intracranial inter- nal carotid artery branches: prevalence and importance for hal loon occlusion test [J]. J Neurosurg,2005,102(1) :45- 52.
  • 6Kurata A,Suzuki S, lwamoto K, et al. Direct puncture approach to the extraconal portion of the superior ophthalmic vein for earot id cavernous fistulae[J]. Neuroradiology, 2009, 51(11) : 755- 759.
  • 7Gemmete J J, Chaudhary N, Pandey A, et al. Treatment of ca rotid cavernous fistulas[J]. Curr Treat Options Neurol, 2010, 12(1):43-53.
  • 8Elhammady M S, Wolfe S Q, Farhat H, et al. Onyx embolization of carotid-cavernous fistulas: Clinical article[J]. J Neurosurg 2010,112(3) :589 -594.
  • 9Luo C B,Teng M M,Chang F C,et al. Transarterial detachable coil embolization of direct carotid cavernous fistula: Immediate and long-term outeomes[J]. J Chin Med Assoc,2013,76(1):31- 36.
  • 10Debrun G M,Nauta H J,Miller N R,et al. Combining 1he de tachahle balloon technique and surgery in imaging carotid caw ernous fistulae[J]. Surg Neurol, 1989,32 (1) : 3-10.

二级参考文献57

  • 1张超,毛颖.球囊闭塞试验的研究进展[J].国外医学(脑血管疾病分册),2004,12(11):833-836. 被引量:3
  • 2张超,毛颖,冷冰,宋冬雷,周良辅.球囊闭塞试验在脑血管病诊断中的应用[J].中华医学杂志,2005,85(32):2243-2246. 被引量:11
  • 3张法永,陈衔城,宋冬雷,顾宇翔,冷冰.颈内动脉球囊闭塞试验的病例回顾[J].中国临床神经科学,2006,14(1):65-68. 被引量:6
  • 4[1]Nagaki Y, Hayasaka S, Kadoi C. Carotid artery fistula after cataract surgery. Ophthalmic Surg Lasers, 1999, 30(2): 160~162.
  • 5[2]Bizri AR, Ajam M, Zaytoun G, et al. Direct carotid cavernous fistula after submucous resection of the nasal septum. ORL J Otorhinolaryngol Relat Spec, 2000, 62(1):49~52.
  • 6[3]Hirai T, Korogi Y, Goto K, et al. Carotid-cavernous sinus fistula and aneurysmal rupture associated with fibromuscular dysplasia. A case report. Acta Radiol, 1996, 37(1):49~51.
  • 7[4]Kurata A, Miyasaka Y, Oka H. Spontaneous carotid cavernous fistulas with special reference to the influence of estradiol decrease. Neurol Res, 1999, 21(7):631~639.
  • 8[5]Ohtsuka K, Hashimoto M. Clinical findings in a patient with spontaneous arteriovenous fistulas of the orbit. Am J Ophthalmol, 1999, 127(6):736~773.
  • 9[6]Uehara T, Tabuchi M, Kawaguchi T. Spontaneous dural carotid cavernous sinus fistula presenting isolated ophthalmoplegia: evaluation with MR angiography. Neurology, 1998, 50(3):814~816.
  • 10[7]Robertson A, Nicolaides AR, Taylor RH, et al. Spontaneous carotid cavernous fistula presenting as pulsatile tinnitus. J Laryngol Otol, 1999, 113(8):744~746.

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