【摘要】 目的进一步探讨颈动脉海绵窦瘘的血管内介入治疗方法及其临床应用。方法回顾性分析８年来应用可脱性球囊栓塞治疗颈动脉海绵窦瘘１３３例，其中有外伤史者１２９例，自发性者４例。球囊内充填１８０ｍｇＩ／ｍｌ水溶性造影剂者１３１例，充填ＨＥＭＡ者２例，全部病例均在神经安定麻醉及全身肝素化下完成。结果一次栓塞既闭塞瘘口，又保持颈内动脉通畅者１０６例，占７９．９％；一次栓塞瘘口部及颈内动脉者２４例，占１８％；二次栓塞既闭塞瘘口，又保留颈内动脉通畅者３例，占２．３％。结论应用可脱性球囊栓塞治疗颈动脉海绵窦瘘是目前最理想的治疗方法，应为治疗本病的首选方法，在电视监视下细心操作是安全可靠的。更多还原

【Abstract】 ? Objective To further investigated the method of interventional intravascular treatment of carotid cavernous fistula (CCF) and the significance of clinical application. Methods The Intravascular embolization with detachable balloon in the management of one hundred and thirty three cases with CCF from April 1992 to April 1999 were retrospectively analysed. Among the 133 cases, there were 129 cases with traumatic CCF and 4 cases with spontaneous CCF. The detachable balloons were filled with nonionic contrast medium 180mgI/ml in 131 cases and HEMA in 2 cases. All patients were heparinized and under diazepam sedation during the interventional procedure. Results One hundred and six fistulas were occluded with patency of the internal carotid artery (79.7%). Twenty four cases were treated with occlusion of the internal artery (18%); three cases. were treated with patency of the internal carotid arteries by two times (2.3%). Conclusions At present, intravascular embolization with detachable balloon is the most valuable method and should be the first choice for the management of CCF. Under TV monitoring, careful manipulation during interventional procedure is safe and reliable. 【更多还原