外伤性颈内动脉—海绵瘘的DSA血管内治疗

The Diagnosis and Treatment of Traumatic Carotid-Cavernous Fistula

目的:探讨数字减影血管造影（Doptal subtraction angiogrsphy,DSA）及血管内治疗对外伤性颈内动脉一海绵瘘（Traumatic carotid-cavernous fistula,TCCF）的诊断及治疗价值。方法:对9例以搏动性突眼为主要症状的海绵窦瘘患者行DSA检查及行可脱性球囊血管内栓塞治疗总结分析。结果:9例患者均成功栓塞痰口且保留载瘤动脉通畅。结论:DSA检查和血管内栓塞治疗是TCCF理想的诊断与治疗方法。

Purpose: To detect the value of digital subtraction angiography(DSA) and intra-vessel embolism in diagnosing and treating traumatic carotid-cavernous fistula(TCCF). Method: 9 cases with TCCF characteristic of pulsating exophthalmos, who were checked by DSA and treated by detachable balloon technique, were analyzed retrospectively. Result: Carotid-cavernous fistula of these patients was observed with DSA and occluded with intra-vessel embolism successfully. The carotid artery remained unobstructed postoperatively. No severe complication was observed.Conclusion: DSA was one of the best ways to make a correct diagnosis of TCCF and intra-vessel embolism, to give a successful therapy.