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目的 分析颈动脉海绵窦瘘的临床特点 ,评价血管内治疗的效果。方法 回顾分析 12例经全脑血管造影证实为颈内动脉海绵窦瘘患者的病史、眼部表现、临床检查的特点及进行可脱性球囊栓塞的疗效。结果 12例患者 1次栓塞成功者 10例 (83.3% ) ,2例行2次栓塞 ,术后无并发症。 1例术前失明 ,术后 1wk视力恢复至眼前手动。 10例视力较术前提高 1～ 4行 (Snellen表 )。术后眼部瘀血肿胀、眼球突出度均明显减轻或消失 ,眼球运动恢复正常 ,复视消失 ,视网膜出血吸收。眼部血管杂音全部消失。术后全脑血管造影复查 ,瘘口均封闭。结论 对于颈内动脉海绵窦瘘应及时治疗 ,尽快恢复视功能。彩色多普勒超声、CT、DSA是诊断本病的常用手段。血管内栓塞是目前治疗颈动脉海绵窦瘘最为理想的方法
Objective To analyze the clinical features of carotid cavernous fistula and evaluate the effect of intravascular treatment. Methods Retrospective analysis of 12 cases confirmed by cerebral angiography for internal carotid cavernous fistula patients history, ocular manifestations, clinical features and the feasibility of detachable balloon embolization. Results In the 12 patients, 10 patients (83.3%) were successful in one embolization and 2 embolizations in 2 patients. There was no postoperative complications. 1 case of blindness before surgery, after 1wk visual acuity recovered to the immediate hand. 10 cases of visual acuity increased 1 to 4 lines compared with preoperative (Snellen table). Postoperative eye blood stasis swelling, prominence were significantly reduced or disappeared, eye movement returned to normal, diplopia disappear, retinal hemorrhage absorption. Eye vascular murmur all disappear. Postoperative cerebrovascular angiography review, fistula were closed. Conclusions For internal carotid cavernous fistula should be promptly treated, restore visual function as soon as possible. Color Doppler ultrasound, CT, DSA is the common means of diagnosis of the disease. Endovascular embolization is the most ideal method for the treatment of carotid cavernous fistula