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目的;探讨海绵窦段颈内动脉瘤的发生机制、临床表现及诊断治疗。方法:14例病人应用微导管插管技术,在数字减形血管造影X线监视下,用球囊对海绵窦段颈内动脉瘤行血管内栓塞治疗。结果:14例病人均一次栓塞成功,栓塞后症状消失,其中5例病人视力改善,2例失明病人视力分别恢复至0.1及0.3。1例于栓塞后一年出现患侧末梢血管脑梗塞,表现为对侧肢体瘫痪,积极治疗后恢复。结论:于动脉瘤近端载瘤动脉可脱性球囊血管内栓塞是治疗本病的最有效手段。
Objective To investigate the mechanism, clinical manifestations, diagnosis and treatment of carotid aneurysms in cavernous sinus cavities. Methods: Fourteen patients underwent microcatheterization and underwent digital radiographic angiography under X-ray monitoring. The balloon angioplasty was used to treat the internal carotid aneurysms of the cavernous sinus. RESULTS: All 14 cases were successfully embolized at one time, and the symptoms disappeared after embolization. Visual acuity improved in 5 cases, and the visual acuity of 2 blind patients recovered to 0.1 and 0.3 respectively. One case developed ipsilateral peripheral blood vessels one year after embolization. Cerebral infarction, manifested as contralateral paralysis, recovery after active treatment. Conclusion: Endovascular embolization with a removable balloon in the proximal aneurysm of the aneurysm is the most effective treatment for this disease.