颈动脉海绵窦瘘的CT诊断(附16例分析)

CT Diagnosis of Carotid Cavernous Fistula: A Report of 16 Cases

目的 分析颈动脉海绵窦瘘 (CCF)的CT表现。材料与方法 回顾分析 16例具有完整临床资料的CCF的CT表现 ,其中有外伤史者 12例 ,占 75 % ,10例经DSA造影证实。结果 CT主要表现为 :(1)眼球突出 ;(2 )海绵窦扩大 ;(3)眼上静脉扩张。结论 眼眶CT扫描是一种无创的颈动脉海绵窦瘘的诊断方法 ,具有准确、方便、特异等特点 ,但应进行必要的鉴别诊断。

Objective To analyzed CT findings of carotid cavernous fistula (CCF).Materials and Methods CT findings in 16 cases with CCF were retrospectively analyzed. Twelve patients had a history of trauma (75%), and the diagnosis was confirmed by DSA in 10 patients.Results The main manifestations on CT were exophthalmus, enlarged cavernous sinus and engorged superior ophthalmic vein.Conclusion CT scanning of the orbit is a non invasive, accurate and simple technique for the diagnosis of CCF. Differential diagnosis is still necessary.