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目的总结可脱性球囊栓塞的技术要点,并评价其在当今神经介入治疗中的应用价值。方法对A组36例外伤性颈内动脉海绵窦瘘(TCCF)及B组24例颅内动脉瘤应用可脱性球囊闭塞瘘口或闭塞1侧颈内动脉。结果A组36例中31例闭塞瘘口且保留颈内动脉(ICA)通畅,另5例瘘口及ICA被同时闭塞,ICA通畅率为86.1%,治愈率为100%。B组24例均成功的闭塞了载瘤动脉,其中病情恢复良好者22例;并发脑缺血和脑梗死各2例,其中1例术后死亡,治愈率95.8%。结论可脱性球囊在当今TCCF及某些不可手术夹闭或因故不能行瘤腔内栓塞的颅内动脉瘤患者的介入治疗中仍然具有重要的应用价值。
Objective To summarize the technical points of detachable balloon embolization and to evaluate its value in the current interventional treatment of nerve. Methods A group of 36 cases of traumatic carotid cavernous fistula (TCCF) and B group of 24 cases of intracranial aneurysm using removable balloon occlusion fistula or occlusion of 1 side of the internal carotid artery. Results Among 36 cases in group A, 31 cases were occluded fistulas and the internal carotid artery (ICA) was preserved. The other 5 cases were simultaneously occluded with fistula and ICA. The ICA patency rate was 86.1% and the cure rate was 100%. Twenty-four patients in group B successfully occluded the parent artery, of which 22 were recovered well. Two patients were complicated by cerebral ischemia and cerebral infarction. One patient died after operation and the cure rate was 95.8%. Conclusion The detachable balloon still has important application value in the interventional treatment of TCCF and some patients with intracranial aneurysm which can not be clipped or can not be embolized in some extent.