外伤性颈动脉海绵窦瘘所致动眼神经麻痹患者动眼神经功能恢.PDFVIP

·244 · doi 10.3969/j.issn. 1673-4254.2015.02.17 J South Med Univ, 2015, 35(2): 244-247 临床研究 外外伤性颈动脉海绵窦瘘所致动眼神经麻痹患者动眼神经功能恢伤性颈动脉海绵窦瘘所致动眼神经麻痹患者动眼神经功能恢 复时复时间的影响因素间的影响因素 郑聪颖，舒 航，唐 凯，曾少建，毛承亮 广东省人民医院//广东省医学科学院神经外科，广东 广州 510080 摘要：目的探究球囊栓塞治疗外伤性颈动脉海绵窦瘘所致动眼神经麻痹患者动眼神经功能恢复时间及其影响因素。方法 选 择我院神经外科2005 年7 月~2013 年7 月收治的87例球囊栓塞治疗外伤性颈动脉海绵窦瘘后动眼神经麻痹患者为观察对象， 采用自编问卷收集患者的临床资料，采用SPSS19.0 统计软件包进行临床资料分析。结果 球囊栓塞治疗外伤性颈动脉海绵窦 瘘所致动眼神经麻痹患者动眼神经功能完全恢复时间为1~6 月，平均恢复时间为33.32± 16.76 d。年龄、术前动眼神经麻痹程 度、从外伤后动眼神经麻痹到接受治疗时间、球囊使用数量与患者动眼神经功能恢复时间呈正相关，外伤性颈动脉海绵窦瘘瘘 口流量与患者动眼神经功能恢复时间呈负相关。结论 球囊栓塞治疗外伤性颈动脉海绵窦瘘所致动眼神经麻痹患者动眼神经 功能恢复时间受多方面因素影响。 关键词：球囊栓塞；外伤性颈动脉海绵窦瘘；动眼神经麻痹；神经功能恢复时间；影响因素 Factors affecting oculomotor nerve function recovery time following balloon embolization for oculomotor nerve palsy caused by traumatic carotid cavernous sinus fistula ZHENG Congying, SHU Hang, TANG Kai, ZENG Shaojian, MAO Chengliang Department of Neurosurgery, Guangdong General Hospital/ Guangdong Academy of Medical Sciences, Guangzhou 510080, China Abstract: Objective To analyze the factors that affect oculomotor nerve function recovery time in patients receiving balloon embolization for oculomotor nerve palsy caused by traumatic carotid cavernous sinus fistula. Methods The clinical data were collected from 87 patients undergoing balloon embolization for oculomotor nerve palsy due to traumatic carotid cavernous sinus fistula from July 2005 to July 2013 and the factors affecting oculomotor nerve function recovery time was analyzed using a self-made questionnaire. Results and Conclusion Oculomotor nerve function recovery time ranged from 1 to 6 months (mean 33.32± 16.76 days) in these patients. Age, severity of preoperative oculomotor nerve paralysis, injury-to-treatment time, and number of balloon used were positively correlated with nerve function recovery time, and the flow vo