查詢結果分析
來源資料
相關文獻
- The Implication of Trauma-related Sphenoid Sinus Abnormality on Direct-Type Carotid-Cavernous Fistula
- Lethal Subarachnoid Hemorrhage after Successful Endovascular Embolization of a Traumatic Carotid Cavernous Fistula: A Complication Report
- Hypothalamic Dysfunction in Acute Head-Injured Patients with Stress Ulcer
- 影響機動車事故傷患頭部外傷之相關因素--花蓮市某兩所教學醫院急診傷患為例
- 孤立性蝶竇麴菌症--病例報告
- 頭部外傷之診斷與治療
- 頭部外傷病患之認知訓練
- 頭部外傷後眩暈
- 頭部外傷病患出院前後家屬照顧者壓力源及因應方式之探討
- 半侵襲性蝶竇麴菌病--三例報告
頁籤選單縮合
題 名 | The Implication of Trauma-related Sphenoid Sinus Abnormality on Direct-Type Carotid-Cavernous Fistula=外傷導致蝶竇變異與顱底大血管傷害的相互關係 |
---|---|
作 者 | 劉原彰; 秦嗣騏; 黃耀祥; 萬永亮; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 31:3 民95.06 |
頁 次 | 頁115-119 |
分類號 | 416.21 |
關鍵詞 | 頸動脈海綿竇瘻管; 蝶竇; 頭部外傷; Carotid-cavernous fistula; Head injury; Sphenoid sinus; |
語 文 | 英文(English) |
中文摘要 | 我們觀察到有蝶竇骨骨折的頭部外傷病患有很高的比例會合併顱底血管的傷害。因此假設蝶竇骨骨折之患者應接受腦血管攝影檢查,以利早期得知並避免頸動脈受損所造成的嚴重後果。在回溯性分析二年內十七位經動脈血管攝影診斷為直接型頸動脈海綿竇瘻管的病例中,我們發現這類病患有很高的比例 (76%)會合併蝶竇骨折,這類的病患我們建議最好能做預防性的磁振或電腦斷層血管攝影檢查以避免以後因頸動脈海綿竇瘻管或假性動脈瘤的併發症造成不可收拾的後果。 |
英文摘要 | We observe the high association between the trauma-related sphenoid sinus fracture and carotid-cavernous fistula (CCF) at our daily work. Our hypothesis is that the sphenoid sinus fracture war-rants the pursuit of cerebral angiography study due to the significant likelihood of internal carotid artery (ICA) injury. In the recent three years, 17 cases of the direct-type CCF are enrolled for analyzing their initial CT findings. All CCF cases were proven by the subsequent catheter angiog-raphy studies. Three patterns of imaging findings with regard to the sphenoid sinus are classified: 1) fracture of sphenoid sinus wall with intrasinus hematoma collection, 2) intrasinus hematoma col-lection without fracture line, 3) unremarkable finding. We determine the individual percentage, disclosing the direct-type CCF is significantly higher in the patients in whom the fracture lines can be identified on routine CT study than those in other two subgroups. Our conclusion is that the CT finding of sphenoid sinus fracture is considered as a useful predictor for possible grave vascular injury. Intactness of bony integrity, no matter with or without hematoma collection is otherwise less possible coinciding with overt ICA injury. Instead, in the latter two conditions, the neighboring carotid canal is another critical site to be scrutinized. |
本系統中英文摘要資訊取自各篇刊載內容。