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目的 评估介入性栓塞治疗颈内动脉 -海绵窦瘘 (carotid cavernous fistula,CCF)的临床疗效。方法 6例颈内动脉 -海绵窦瘘患者 ,采用经皮股动脉径路、可脱球囊栓塞治疗。其中 1例伴颈外动脉 -海绵窦瘘患者 ,结合颈外动脉颗粒性栓塞。结果 6例 CCF栓塞均获成功 ,其中 2例栓塞后保持颈内动脉通畅 ,另 4例结合同侧颈内动脉栓闭。本组无并发症发生。结论 CCF的介入治疗创伤小、疗效好 ,是 CCF临床治疗的首选方法。
Objective To evaluate the clinical efficacy of interventional embolization in the treatment of carotid cavernous fistula (CCF). Methods Six patients with internal carotid artery-cavernous fistula were treated with percutaneous femoral artery approach and detachable balloon embolization. One case with external carotid - cavernous fistula patients, combined with external carotid artery embolization. Results 6 cases of CCF embolization were successful, including 2 cases of carotid artery embolization to maintain patency, and the other 4 cases of ipsilateral internal carotid artery occlusion. This group no complications. Conclusion The interventional treatment of CCF is less invasive and has good curative effect. It is the first choice for clinical treatment of CCF.