摘要
目的 总结分析颈内动脉海绵窦瘘两种方法的对比治疗效果。方法 采用“放风筝”疗法治疗颈内动脉海绵窦瘘 9例 ,采用可脱性球囊栓塞治疗颈内动脉海绵窦瘘 6例。结果 “放风筝”组 9例、8例治愈 ,l例好转 ,12年后因症状加重 ,再行可脱球囊栓塞治疗 ,可脱性球囊栓塞治疗组 6例 ,均一次栓塞成功、颈内动脉均保留通畅、全部治愈。结论 “放风筝”疗法方法简单 ,不需特殊设备与材料 ,易于在基层开展 ,但有创伤大、易复发 ,可能闭塞颈内动脉的缺点 ,可脱性球囊栓塞创伤小、颈内动脉通畅率高 ,不易复发 ,但设备及技术要求高 。
Objective To evaluate the effect of “flying kite” technique and detachable balloon on embolization of carotid-cavernous fistulas (CCF). Methods 9 cases of CCF were treated by using“flying kite”technique, and 6 cases of CCF were treated by using detachable balloon. Results In “flying kite” treatment group, 8 cases were completely cured, and 1 case was partly cured. In detachable ballon treatment group, all 6 cases were completely cured once. Conclusion The“flying kite”technique was simple method for embolization of CCF, which didn't need special instruments and materials, and was easy to use in the basic hospitals, but it could obstruct carotid artery and lead to CCF recurrence. The embolization of CCF by using detachable balloon had a higher curative rate and recurred rarely, but it needed special instruments and skills. Detachable balloon embolization of CCF is a reliable method for the treatment of CCF. [
出处
《中国医师杂志》
CAS
2004年第8期1059-1060,共2页
Journal of Chinese Physician
基金
广东省韶关市科学基金资助项目 (Y0 1 1 0 )