摘要
目的:本文报告了三例颈内动脉床突下段破入蝶窦的治疗方法及技术特点。材料和方法:三例均在外伤性颅底骨折后,颈内动脉床突下段假性动脉瘤破入蝶窦引起致命的鼻腔大出血。经股动脉入路,先做选择性颈内动脉造影,明确诊断后再用可脱球囊栓塞患侧的颈内动脉。结果:三例均顺利地闭塞了颈内动脉,追踪6个月至3年,再未出现鼻腔大出血。结论:此项技术对治疗颅底骨折后引起的鼻腔大出血是一简单、安全可靠的好方法。
This paper reported the method of the subclinoid part of the internal carotid artery break in to sphenoidal sinus. Materials and Methods: The 3 cases suffered from parabasal fractures of the skull during head trauma. The false aneurysm of the subclinoid part of the internal carotid artery broke into sphenoidal sinus and caused fatal nasal hemorrhages. Selective internal carotid arteriographies were made through femoral artery, approach. BALTs were put into the ruptured places of the arteries after di agnoses were confirmed. Results: In the above cases the internal carotid arteries were occluded and profuse nasal hemorrhages stopped and did not appear again in the follow up period (6 months-3 years) . Conclusion: The method presented in the paper is a simple, safe and reliable one for the treatment of profuse nasal bleeding caused by parabasal fractures of the skull.
出处
《介入放射学杂志》
CSCD
1996年第4期204-207,共4页
Journal of Interventional Radiology
