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目的分析６０例外伤性颈内动脉海绵窦瘘用血管内栓塞治疗的方法、结果和技术特点。方法４７例用可脱球囊栓塞；１２例用弹簧圈栓塞；１例用ＩＢＣＡ胶栓塞。５９例经股动脉穿刺插管至颈内动脉进入海绵窦，１例经扩张的眼上静脉插管至海绵窦内。结果①４７例球囊栓塞中，３５例保持了颈内动脉通畅，占７４．５％；１２例闭塞了颈内动脉。②１２例弹簧圈栓塞中，４例保持了颈内动脉通畅，占３３％；８例闭塞了颈内动脉。③１例经眼上静脉插管用ＩＢＣＡ胶栓塞成功。结论介入放射血管内栓塞治疗颈内动脉海绵窦瘘其方法简便、安全可靠、效果良好，特别是用可脱球囊栓塞，保持颈内动脉通畅率高。
Objective To analyze the methods, results and technical characteristics of 60 cases of traumatic carotid cavernous fistula treated with endovascular embolization. Methods 47 cases with detachable balloon embolization; 12 cases with coil embolization; 1 case with IBCA plastic plug. 59 cases of femoral artery puncture intubation to the internal carotid artery into the cavernous sinus, 1 case of dilated ophthalmic vein into the cavernous sinus. Results ① In 47 cases of balloon embolization, 35 cases kept internal carotid artery patency, accounting for 74.5%; 12 cases occluded internal carotid artery. ② In 12 cases of coil embolization, 4 cases maintained the internal carotid artery patency, accounting for 33%; 8 cases occluded the internal carotid artery. ③ 1 case of intravenous catheter embolization with IBCA success. Conclusions Interventional endovascular embolization of the internal carotid artery cavernous sinus fistula is simple, safe and reliable, with good results, especially with detachable balloon embolization to keep the internal carotid artery patency rate high.