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目的:探讨颈内动脉海绵窦瘘血管内球囊栓塞治疗之效果。材料与方法:7例患者(5例外伤性,2例自发性)均行 DSA 全脑血管造影明确瘘口部位。叙述发现瘘口应注意的造影环节。结果:7例中5例球囊栓塞成功,保留了颈内动脉的通畅。1例行患侧颈内动脉闭塞。另1例属 D 型,栓塞效果不满意。结论:海绵窦瘘全脑血管造影可明确瘘口部位、大小及分型。单纯性海绵窦瘘大部分为外伤性,首选的治疗方法是血管内球囊栓塞治疗。
Objective: To investigate the effect of endovascular balloon embolization of internal carotid cavernous fistula. Materials and Methods: Seven patients (5 traumatic and 2 spontaneous) underwent DSA with full foramen omentum. The narrative found fistula should pay attention to the imaging link. Results: In 5 of 7 cases, balloon embolization was successful, which kept the internal carotid arteries clear. 1 routine ipsilateral carotid artery occlusion. Another case of D-type, embolization effect is not satisfied. Conclusion: Cavernous sinus fistula with cerebral angiography can confirm the location, size and type of fistula. Most of the simple cavernous fistula trauma, the preferred treatment is endovascular balloon embolization.