CAJ | 학술논문

目的分析颈动脉海绵窦瘘(CCr)介入治疗的效果及围手术期管理要点.方法 CCF39例,男30例,女9例.年龄16～67岁.主要体征和症状是搏动性眼球突出、球结膜充血水肿、眼球运动障碍和视力下降.介入治疗分别采取可脱球囊、弹簧圈、栓塞胶和覆膜支架等栓塞瘘口.围手术期采取强化眼部护理及康复治疗.结果 36例(92.31％)一次封堵成功,3例(7.65％)复发后再次封堵成功(其中1例闭塞颈内动脉).术后均恢复顺利,随访显示疗效可靠.结论介入方法封堵瘘口已成为治疗CCF的首选方法,创伤小、疗效好.同时强化围手术期眼部护理及康复有助于患者临床症状改善.
목적 분석경동맥해면두루(CCr)개입치료적효과급위수술기관리요점.방법 CCF39례,남30례,녀9례.년령16～67세.주요체정화증상시박동성안구돌출、구결막충혈수종、안구운동장애화시력하강.개입치료분별채취가탈구낭、탄황권、전새효화복막지가등전새루구.위수술기채취강화안부호리급강복치료.결과 36례(92.31％)일차봉도성공,3례(7.65％)복발후재차봉도성공(기중1례폐새경내동맥).술후균회복순리,수방현시료효가고.결론 개입방법봉도루구이성위치료CCF적수선방법,창상소、료효호.동시강화위수술기안부호리급강복유조우환자림상증상개선.
Objective To analyze the interventional treatment for carotid-caverneous fistula and the key points of perioperative nursing.Methods Thirty-nine cases were enrolled in this study including 30 males and 9 females aged between 16-67 years old.The main signs and symptoms were pulsating protopsis,congestion and edema of bulbar conjunctiva,eye movement obstruction and vision decrease.Detachable balloon,coil,glue and covered stent were used to embolize the fistula.Local eye protection,nursing and rehabilitation were applied in all cases.Results Thirty-six cases (92.31％) were embolized successfully in the first roll operation.Three cases (7.69％) recurred and were totally embolized in the second operation,and internal carotid artery was embolized in one recurrent case during following procedures.Conclusion Interventional treatment is a quite effective and less invasive way for carotid-caverneous fistula.Perioperative local eye protection and rehabilitative nursing can accelerate the remission of symptoms.