Efficacy analysis of Matas test combined with endovascular intervention in 144 patients with traumatic internal carotid-cavernous fistula
10.3760/cma.j.issn.1671-0282.2022.10.014
- VernacularTitle:Matas试验联合介入治疗对144例外伤性颈内动脉海绵窦瘘疗效分析
- Author:
Liyu WANG
1
;
Jiebin LI
;
Jing MA
;
Xihong LIANG
;
Ning DING
;
Chunsheng LI
Author Information
1. 首都医科大学附属北京同仁医院急诊科，北京 100730
- Keywords:
Traumatic internal carotid-cavernous fistula;
Matas test;
Endovascular interventional therapy;
Intraocular pressure;
Visual acuity
- From:
Chinese Journal of Emergency Medicine
2022;31(10):1379-1383
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the efficacy of Matas test combined with endovascular intervention on patients with traumatic internal carotid-cavernous fistula.Methods:A retrospective case study was performed on 144 patients with traumatic internal carotid-cavernous fistula treated in our department from August 2012 to June 2018. The clinical symptoms, intraocular pressure and visual acuity data before and after surgery were counted, and the paired t test was used for statistical analysis. Logistic regression was performed to analyze factors affecting recurrence.Results:The main symptoms of traumatic internal carotid-cavernous fistula were proptosis, bulbar conjunctival hyperemia and cranial sound. Postoperative intraocular pressure was significantly lower than preoperative intraocular pressure [(11.13±2.97) mmHg vs. (22.37±6.64) mmHg] and postoperative visual acuity was significantly higher than preoperative visual acuity [(0.69±0.36) vs. (0.47±0.25)] and (both P<0.05). Postoperative intraocular pressure was an independent risk factor for recurrence within 3 months ( OR=0.357, 95% CI: 0.135-0.944, P=0.037), and the recurrence rate was 10.42%. Conclusions:Matas test combined with endovascular intervention in the treatment of traumatic internal carotid-cavernous fistula can effectively reduce intraocular pressure, improve visual acuity, and has a definite curative effect. It is one of the effective treatment methods for traumatic internal carotid-cavernous fistula.
