颈动脉一海绵窦瘘

Carotid-cavernous fistula

目的 :探讨 3 1例TCCF及 5例SCCF的临床特点与疗效。方法 :回顾性地分析该病的诊断和治疗方法。结果 :2 4例TCCF经血管内栓塞治疗后有 2 2例 ,症状及体征消退 ,瘘口消失 (治愈率 91 7% )。好转 2例 (8 3 % ) ,症状和体征减轻 ,瘘口基本闭塞。 5例SCCF经保守治疗 ,效果良好。结论 :DSA检查及血管内栓塞技术是较理想的诊断及治疗方法。

To evaluate the clinical features and the treatments of traumatic carotid-cavernous fistula (TCCF) and spontaneous carotid-cavernous fistulas (SCCF). Methods:The diagnoses and therapeutic outcomes of TCCF and SCCF were analyzed. Results:All CCF cases were diagnosed by Digital subtraction angiography (DSA).24 cases of TCCF were treated by intra-vascular releasable embolization,in which the carotid fistulas of 22 cases were occluded completely with symptoms and signs disappeared,and 2 cases were occluded fundamentally with clinical damages decreased remarkably.5 cases of SCCF got better therapeutic outcomes by conservative therapy. Conclusions:The cerebral artery DSA and intravascular therapy are ideal methods for the diagnosis and treatment of CCF.