22例颈动脉海绵窦瘘的眼部表现临床分析Clinical analysis of 22 cases with ocular symptoms of carotid cavernous fistula
高翔;肖剑晖;
摘要(Abstract)：
目的分析颈动脉海绵窦瘘眼部表现的临床特点,提高眼科医生对该病的认识。方法收集2011-01—2017-03首诊于眼科的22例颈动脉海绵窦瘘患者,男14例,女8例,年龄1666岁,平均40.09岁。回顾性分析眼部症状及治疗的疗效。结果眼部临床表现:眼球突出20例(90.9%),结膜充血水肿15例(68.2%),眼睑水肿5例(22.7%),眼球运动受限7例(31.8%),流泪3例(13.6%),眼眶杂音3例(13.6%),视力下降6例(27.3%),眼压升高3例(13.6%),眼痛4例(18.2%),视物重影3例(13.6%)。颈动脉海绵窦瘘介入栓塞术治病18例,随访166岁,平均40.09岁。回顾性分析眼部症状及治疗的疗效。结果眼部临床表现:眼球突出20例(90.9%),结膜充血水肿15例(68.2%),眼睑水肿5例(22.7%),眼球运动受限7例(31.8%),流泪3例(13.6%),眼眶杂音3例(13.6%),视力下降6例(27.3%),眼压升高3例(13.6%),眼痛4例(18.2%),视物重影3例(13.6%)。颈动脉海绵窦瘘介入栓塞术治病18例,随访16个月,其中治愈4例,好转12例,无效或失败2例。保守治疗4例,随访6个月,4例全部好转。结论颈动脉海绵窦瘘的临床表现多样,其中眼球突出、结膜充血水肿最常见。
关键词(KeyWords)： 颈动脉海绵窦瘘;眼球突出;眼部表现;视力下降;介入栓塞术
基金项目(Foundation): 广东省优秀博士毕业论文项目,编号:81000-3212501
作者(Authors): 高翔;肖剑晖;
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