[1]凌国源 黄锦丰 梁月盛等. 球囊辅助Onyx联合弹簧圈栓塞治疗外伤性颈内动脉海绵窦瘘[J].卒中与神经疾病杂志,2016,23(03):193-196.[doi:10.3969/j.issn.1007-0478.2016.03.013]
 [J].Stroke and Nervous Diseases,2016,23(03):193-196.[doi:10.3969/j.issn.1007-0478.2016.03.013]
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 球囊辅助Onyx联合弹簧圈栓塞治疗外伤性颈内动脉海绵窦瘘(/HTML)
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第23卷
期数:
2016年03期
页码:
193-196
栏目:
论 著
出版日期:
2016-06-24

文章信息/Info

作者:
 凌国源 黄锦丰 梁月盛等
 530021 南宁,中国人民解放军第303医院神经外科[凌国源 黄锦丰 玉石 陈文斗(通信作者)],放射科(梁月盛)
关键词:
 外伤性颈内动脉海绵窦瘘 Onyx联合弹簧圈栓塞 球囊辅助
分类号:
R741
DOI:
10.3969/j.issn.1007-0478.2016.03.013
文献标志码:
A
摘要:
 目的 探讨球囊辅助Onyx联合弹簧圈栓塞治疗外伤性颈内动脉海绵窦瘘(TCCF)的应用价值及技术要点。方法 回顾性分析8例TCCF患者采用球囊辅助Onyx联合弹簧圈栓塞治疗的临床资料,其中前颅窝或(及)中颅窝骨折合并海绵窦处有明显骨折片6例,2例无颅底骨折患者瘘口较小,预计球囊难以进入。根据DSA检查8例患者均以眼上、眼下静脉引流为主,2例伴有岩上、岩下窦引流,2例伴有对侧海绵间窦引流,1例伴有对侧海绵窦处硬脑膜动静脉瘘。结果 8例患者栓塞后造影证实瘘口均完全闭塞,患侧颈内动脉保持通畅,无分支动脉损伤,无体内残留导管事件。结论 应用球囊辅助Onyx联合弹簧圈栓塞是治疗TCCF的一种安全有效的方法,特别对于海绵窦内有骨折片、瘘口较小、血管过于迂曲等原因而不能使用可脱球囊栓塞及覆膜支架治疗的患者,该方法可以提高TCCF的治愈率及颈内动脉通畅率,减少并发症。

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备注/Memo

备注/Memo:
 (2016-01-07收稿 2016-02-04修回)
更新日期/Last Update: 2016-06-24