【摘要】 目的探讨颈内动脉海绵窦瘘的DSA表现,着重分析引流静脉与海绵窦的解剖结构。方法回顾性的分析经DSA血管造影确诊的颈内动脉海绵窦瘘76例,观察分析颈内动脉海绵窦瘘的引流静脉的显示情况及其解剖学基础。结果76例均经DSA血管造影作出了准确的诊断。经眼上静脉引流为主者72例(占94.7%);经岩上、下窦引流者18例;经基底静脉引流者5例;经皮层静脉引流者15例;经海绵间窦向对侧海绵窦引流者8例。眼上静脉为颈内动脉海绵窦瘘的主要引流静脉。结论正确认识CCF的引流静脉与海绵窦的解剖结构的关系,有助于进一步加深对引流静脉与CCF临床及DSA表现的关系的认识。更多还原

【Abstract】 Objective To investigate the findings of internal carotid-cavernous fistulae(CCF),and the emphasis is to analyse the relationship between venous drainage and anatomy of cavernous sinus.Material and Methods 76 cases of CCF were reviewed,digital subtraction angiography(DSA) of cerebral arteries was carried out for diagnosis of all 76 cases,and the anatomy of their venous drainage was studied.Results All 76 cases were diagnosesd by DSA,and venous drainage of 72 cases was mainly via superior ophthalmic vein,15 cases via cortical vein,18 cases via petrosal sinus,5 cases via Rosenthal vein,10 cases via petrgoid plexus and 8 cases via controlateral cavernous sinus.Conclusion It is very helpful to understand the relationship between venous drainage and its clinical feature and DSA signs更多还原