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目的 探讨海绵窦区自发性动静脉瘘 (SCCF)的临床特点和诊断治疗。方法 通过 2 2例SCCF患者的回顾性分析 ,总结其临床特点、影像学资料及救治方法。结果 海绵窦区自发性动静脉瘘病因较多 ,以中年妇女为多 ,诊断主要依靠脑血管造影 ,其治疗方法多种多样 ,目前以血管内栓塞治疗为主要手段 ,但是存在 2 5 %～ 30 %的自愈率。结论 自发性海绵窦区动静脉瘘实际上是海绵窦区的硬脑膜动静脉瘘 (DAVF) ,除其部分可自行消失外 ,应用MagicBD等微导管直接脱离球囊技术进行血管内栓塞 ,仍是目前治疗本病的首选方法之一。
Objective To investigate the clinical features and diagnosis of spontaneous arteriovenous fistula (SCCF) in cavernous sinus. Methods A retrospective analysis of 22 patients with SCCF was performed to summarize their clinical features, imaging data and treatment methods. Results There were many causes of spontaneous arteriovenous fistula in the cavernous sinus area. Middle-aged women were predominant. The diagnosis mainly depends on cerebral angiography. There are many treatments for this disease. At present, intravascular embolization is the main method, but 25% 30% of the self-healing rate. Conclusions Spontaneous cavernous fistula is actually the dural arteriovenous fistula (DAVF) of the cavernous sinus area. Apart from its disappearance, the spontaneous cavernous fistula of the cavernous sinus area can be endovascularly embolized with the direct detachable balloon catheterization technique such as MagicBD The current treatment of the disease one of the preferred method.