[1]王子亮,许 斌,李天晓.可脱性球囊治疗外伤性颈动脉海绵窦瘘188例[J].介入放射学杂志,2015,(09):754-758.
 WANG Zi- liang,XU Bin,LI Tian- xiao.Endovascular embolization with detachable balloon for traumatic carotid- cavernous fistulae: clinical experience in 188 cases[J].journal interventional radiology,2015,(09):754-758.
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可脱性球囊治疗外伤性颈动脉海绵窦瘘188例()

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

卷:
期数:
2015年09期
页码:
754-758
栏目:
神经介入
出版日期:
2015-09-25

文章信息/Info

Title:
Endovascular embolization with detachable balloon for traumatic carotid- cavernous fistulae: clinical experience in 188 cases
作者:
王子亮 许 斌 李天晓
Author(s):
WANG Zi- liang XU Bin LI Tian- xiao
Interventional Therapy Center, Henan Provincial People’s Hospital, Zhengzhou, Henan Province 450003, China
关键词:
【关键词】 外伤性颈动脉海绵窦瘘 可脱性球囊 血管栓塞治疗
文献标志码:
A
摘要:
【摘要】 目的 探讨根据外伤性颈动脉海绵窦瘘(TCCF)病变特点,采用可脱性球囊血管内栓塞治疗的临床疗效。方法 对188例接受股动脉入路可脱性球囊栓塞治疗的TCCF患者临床资料进行回顾性分析,并对导致复发的危险因素作统计学分析。结果 188例TCCF患者经首次球囊栓塞治疗后有160例痊愈,22例临床症状有所好转,6例球囊栓塞失败,改用其它手术方案治疗。有3例发生并发症。术后1 d~5年有23例复发,接受二次手术后均成功。根据单因素分析和卡方检验或校正卡方检验,影响术后复发的因素为多枚球囊栓塞和术后有残瘘(P<0.05),患者性别、年龄、病程长短均无统计学意义(P>0.05);Logistic回归分析显示,球囊数量≥2枚(OR值7.80,95%CI 2.28~26.73,P=0.001)、术后即刻有残瘘(OR值10.46,95%CI 2.99~36.5,P=0.000)是影响复发的独立危险因素。结论 可脱性球囊血管内栓塞治疗TCCF具有损伤小、并发症少、安全可靠等优点,是TCCF首选治疗方法。多枚球囊栓塞和栓塞术后即刻有残瘘是导致复发的危险因素,其它危险因素尚待研究。

参考文献/References:

[参 考 文 献]
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备注/Memo

备注/Memo:
(收稿日期:2015-01-27)
(本文编辑:边 佶)
更新日期/Last Update: 2015-09-23