中华耳科学杂志Issue(2)：190-197,8.DOI:10.3969/j.issn.1672-2922.2014.02.02
血管源性搏动耳鸣的介入诊断和治疗研究
Diagnosis and Interventional Therapy of Pulsatile Tinnitus Caused by Vascular
李宝民 1曹向宇 1刘新峰 1李生 1王君 1梁永平 1葛爱莉 1张阿兰 1冯惠敏1
作者信息
摘要
Abstract
Objective To retrospective evaluate the imaging diagnosis and disease characteristics of pulsatile tinnitus caused by vascular, and to estimate the feasibility and clinical effect of interventional therapy. Methods The DSA characteris-tic and pathophysiological mechanisms of 82 cases pulsatile tinnitus caused by cerebral artery and venous sinus were ana-lyzed retrospectively. All the patients were treated by interventional therapy via femoral artery and venous with coil、NBCA glue、balt Balloon、self-expandable stent and intracranial micro-stent. The patients included 3 cases intracranial AVF、16 cas-es spontaneous skull base DAVF、5 cases TCCF、2 cases subclavian artery stenosis、3 cases internal carotid artery stenosis ,1 case intracranial artery stenosis、2 case vertebrobasilar artery circuity and extension、2 cases venous sinus diverticulum、46 cases venous sinus stenosis in drainage dominancy side、2 cases occipital sinus stenosis. Result Pulsatile tinnitus disap-peared in two days following the procedure in all 82 cases. There was not procedure related complication. During the 5 to 36 months follow-up, 5 cases pulsatile tinnitus caused by cerebral artery had recurrence 3 months after operation . The pulsatile tinnitus of 5 patients disappeared after secondly embolizaiton. The pulsatile tinnitus caused by venous sinus treated by stent and stent-assisted embolization had not recurrence. Conclusion Endovascular therapy could provide a new way for diagnosis and cure of stubborn pulsatile tinnitus, and endovascular therapy could provide theoretical and technical evidence for diagno-sis and study of other types of tinnitus.关键词
搏动性耳鸣/AVF/脑动脉/静脉窦/狭窄/栓塞/支架成形Key words
Pulsatile tinnitus/AVF/Cerebral artery/Venous sinus/Stenosis/Embolize/Stent plasty分类
医药卫生引用本文复制引用
李宝民,曹向宇,刘新峰,李生,王君,梁永平,葛爱莉,张阿兰,冯惠敏..血管源性搏动耳鸣的介入诊断和治疗研究[J].中华耳科学杂志,2014,(2):190-197,8.
