动脉途径栓塞治疗外伤性颈动脉海绵窦瘘的临床分析

Clinical analysis of arterial embolization in the treatment of traumatic carotid cavernous fistula

目的：总结外伤性颈动脉海绵窦瘘（TCCF）血管内介入治疗的临床疗效。方法回顾性分析2008年至2015年收治的23例 TCCF 患者的临床资料，均在全身麻醉下经股动脉入路，采用可脱性球囊、弹簧圈及覆膜支架栓塞方法进行介入治疗。结果23例患者一次栓塞成功18例，二次栓塞成功2例，3例行球囊栓塞失败后行覆膜支架成形术治愈。术后经对症治疗后患者眼部症状消失，6个月随访无复发。结论外伤性颈动脉海绵窦瘘经动脉途径血管内封堵治疗，是一种风险低、损伤小、疗效好的方法。术后加强眼科治疗有助于眼部症状的改善。

Objective To analyze the clinical effects of endovascular interventional in the treat-ment of patients with traumatic carotid cavernous fistula. Methods From 2008 to 2015,23 patients who suffered from CCF received endovascular interventional therapy,all the 23 patients under general anes-thesia through the femoral artery approach,using detachable balloon,coil and stent embolization for in-terventional therapy. Results Eighteen cases were performed with detachable balloon treatment success-fully,2 cases were successful by two embolization,3 cases underwent balloon embolization after failed endovascular stent surgery. After symptomatic treatment,the ocular symptoms of the patients disap-peared,6 months of follow-up without recurrence. Conclusions Traumatic carotid cavernous fistula transarterial endovascular interventional therapy,is a method of low risk,small damage and has good effect. Strengthen the ophthalmology treatment contributes to the improvement of the ocular symptoms af-ter surgery.