蝶窦颈内动脉假性动脉瘤的诊治分析（附7例报告）

辜德英; 吕丹; 余蓉; 陈飞

doi:10.13201/j.issn.1001-1781.2016.21.013

蝶窦颈内动脉假性动脉瘤的诊治分析（附7例报告）

- 四川大学华西医院耳鼻咽喉头颈外科(成都, 610041)

详细信息

通讯作者: 陈飞,E-mail:c3h3f3@163.com

中图分类号: R543.16

收稿日期: 2016-08-13

The diagnosis and treatment of pseudoaneurysm of internal carotid artery in sphenoid sinus （a report of 7cases）

- Department of Otolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, 610041, China

More Information

Corresponding author: CHEN Fei, E-mail: c3h3f3@163.com

Received Date: 13 August 2016

摘要

摘要: 目的:探讨蝶窦颈内假性动脉瘤的临床特点及诊疗方法。方法:回顾性分析1995-03-2015-01期间收治的7例蝶窦颈内动脉假性动脉瘤患者的临床资料。结果:7例患者中,男5例,女2例;反复鼻出血者5例,单眼失明1例,双眼失明1例,有明确头部外伤史5例。4例患者采用覆膜支架置入的介入治疗,1例失访,1例行右颈内动脉孤立术及颈总动脉夹闭术,1例紧急行右颈内动脉栓塞。术后1例出现偏瘫,余患者均痊愈。结论:对于蝶窦内占位的患者,若有头部外伤史、反复鼻出血或涕中带血或合并视力障碍者应考虑到颈内动脉假性动脉瘤的可能,建议及时行MRI、MRA及DSA检查以明确诊断。
- 蝶窦 /
- 颈内动脉 /
- 假性动脉瘤 /
- 鼻出血 /
- 介入治疗
Abstract: Objective: To explore the clinical characteristics,diagnosis methods and treatment of sphenoid sinus internal jugular pseudoaneurysms.Method: Data of 7 cases were retrospectively studied from March 1995 to January 2015.Result: There were five cases had recurrent nasal bleeding, two cases suffered monocular blindness, and one case was blind of both eyes.There was a clear history of head injury in five cases. Four patients were treated with coated stent intervention treatment, one case lost follow-up, one case suffered right internal carotid artery isolation technique and routine clipping common carotid arteries, and one case was performed emergency right internal carotid artery embolism. Three out of four cases were recovered, and one case occurred hemiplegia.Conclusion: With the history of head injury, recurrent nasal bleeding or stuff with blood, or blindness, the diagnosis of internal carotid artery pseudoaneurysms should be taken into account, and the MRI, MRA and DSA examination are necessary.
- sphenoid sinus /
- internal carotid artery /
- pseudoaneurysm /
- epistaxis /
- interventional therapy

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