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目的探讨颈动脉海绵窦瘘(CCF)的临床特点、影像学诊断价值和介入治疗的效果。方法回顾性分析13例CCF患者的临床表现、影像学特点及介入治疗情况。结果 13例患者的临床表现均以眼科症状为主,分别行B超、CT或MRI检查时发现,其中12例行数字减影血管造影(DSA)确诊并以介入治疗。12例患者介入治疗后瘘口完全闭塞,临床症状和体征不同程度的改善。结论特征性眼部表现结合眼部B超、CT、MRI等影像学检查可确诊CCF。DSA检查及介入治疗仍是目前最理想的诊断和治疗方法。
Objective To investigate the clinical features of carotid cavernous fistula (CCF), the diagnostic value of imaging and the effect of interventional therapy. Methods Retrospective analysis of 13 cases of CCF patients with clinical manifestations, imaging features and interventional treatment. Results The clinical manifestations of the 13 patients were mainly ophthalmic symptoms. B-scan, CT scan or MRI scan showed that 12 of them were confirmed by digital subtraction angiography (DSA) and were treated by interventional therapy. After the interventional treatment in 12 patients, the fistula was completely occluded, and the clinical symptoms and signs improved to some extent. Conclusion The characteristic ocular manifestations combined with ocular ultrasound, CT, MRI and other imaging examination can confirm the CCF. DSA examination and interventional treatment is still the best diagnosis and treatment.