[1]李天晓,白卫星,翟水亭,等.颅底动脉损伤的介入治疗[J].介入放射学杂志,2008,(08):535.
　LI Tianxiao,BAI Weixing,ZAI Suiting,et al.Endovascular treatment for arterial injuries of skull base[J].journal interventional radiology,2008,(08):535.
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颅底动脉损伤的介入治疗()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年08期
页码:
535
栏目:
神经介入
出版日期:
2008-08-15

文章信息/Info

Title:
Endovascular treatment for arterial injuries of skull base
作者:
李天晓; 白卫星; 翟水亭; 等
４５０００３郑州河南省人民医院介入科
Author(s):
LI Tian－xiao; BAI Wei－xing; ZAI Sui－ting; WANG Zi－liang; XUE Jiang－yu
Department of Interventional Radiology，Henan People's Provincial Hospital，Zhengzhou４５０００３，China
关键词:
颅底损伤; 腔内治疗; 颈动脉－海绵窦瘘; 假性动脉瘤; 介入
分类号:
R７４３.４
文献标志码:
A
摘要:
目的探讨多种血管腔内手段治疗颅底动脉损伤的临床价值。方法２００４年１０月至２００７年５月间我院收治各类型颅底动脉损伤患者共５３例，均有头颈部外伤史。主要症状为搏动性突眼和颅内血管杂音（３９例）、声嘶或吞咽不适（９例）、鼻出血（５例）等；DSA检查证实颈动脉海绵窦瘘（carotid cavernous fistulae，CCF）３９例，颈内动脉假性动脉瘤１４例；针对上述５３例患者不同的病变特点采用不同的血管腔内治疗，并通过电话或门诊随访。结果对５３例患者５６支颈内动脉进行了腔内介入治疗，采用单纯可脱球囊栓塞治疗CCF３３例３４支血管，可脱球囊联合弹簧圈栓塞３例，植入覆膜支架封堵CCF３例；采用单纯可脱球囊闭塞颈内动脉治疗假性动脉瘤８例，可脱球囊联合弹簧圈孤立假性动脉瘤２例，植入覆膜支架腔内隔绝治疗４例；平均随访时间９．５个月（２～２５个月），８５％（４５／５３）患者主诉症状于６个月内消失，１２个月随访１５％（８／５３）患者遗留眼球运动受限或视力障碍。复查显示存在假性动脉瘤６例，残瘘３例，其中２例因海绵窦区的硬脑膜动静脉瘘而分别于术后第２、３个月行再次介入治疗。结论对各型颅底动脉损伤，血管腔内介入治疗创伤小且安全有效。尽管存在缺陷，可脱球囊仍是治疗CCF和颈动脉假性动脉瘤的首选方法，在特殊情况下必需联合应用弹簧圈栓塞和覆膜支架植入等多种治疗手段。

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备注/Memo

备注/Memo:
收稿日期：２００８－０４－０３
更新日期/Last Update: 2008-08-15