首诊于眼科的颈动脉海绵窦瘘7例回顾性分析

摘要

目的 探讨颈动脉海绵窦瘘眼部表现特点及诊断要点.方法 回顾分析5年中7例首诊于我科的外伤性颈动脉海绵窦瘘者的眼部症状及体征、影像学检查、治疗方法等.所有病例中最常见的眼部表现为搏动性眼球突出、球结膜高度充血水肿、眼压升高等.CT或MRI检查所有病例均显示眼上静脉扩张和海绵窦增宽,数字减影血管造影检查明确诊断.结果 7例行血管内介入栓塞治疗均一次成功,眼部症状和体征得到明显改善.结论 在临床工作中,对于可疑病例,应考虑颈动脉海绵窭瘘的可能,血管造影是该病诊断的金标准,血管内介入栓塞治疗对颈动脉海绵窦瘘是有效的.%Objective To analyse the ocular manifestations and diagnostic features of carotid cavernous fistula (CCF).Methods Chnical data from 7 patients with traumatic carotid cavernous fistula in the past five years were analyzed retrospectively.The ocular symptoms and signs,imaging and treatment were analyzed.The most common ocular symptoms were exophthalmos with pulsation,serious bulbar conjunctival congestion and high intraocular pressure.The CT or MRI scan performed in all cases revealed enlargement of the superior ophthalmic veins and distension of the cavernous sinus.All of the cases were diagnosed with digital subtraction angiography (DSA).Results Endovascular remabilization were performd in the 7 patients successfully.The ocular symptoms and signs were improved obviously.Conclusion In clinical work,carotid cavernous fistula should be considered for the suspicious eases,and DSA is the gold standard for the diagnosis.Endovascular remobilization is effective for carotid cavernous fistula.