[摘要]目的探讨使用血管内介入的方法治疗创伤性假性动脉瘤的疗效。方法对近10年单纯用介入栓塞的方法治愈的头颈部创伤性假性动脉瘤21例进行回顾性分析，均经血管造影确诊有血管壁损伤并在血管外形成囊腔，假性动脉瘤的位置分别是:10例位于颈内动脉，8例位于颈外动脉，3例位于锁骨下动脉/椎动脉。分别用带纤毛的铂金微弹簧圈、可脱性微球囊、电解可脱性弹簧进行栓塞。结果单纯闭塞动脉瘤保留载瘤动脉通畅的13例，同时闭塞动脉瘤和载瘤动脉的有8例，1例出现术后视力下降，无其他并发症;术后随访6～24月，无复发表现。结论对头颈部创伤性假性动脉瘤，经血管内介入栓塞是一种安全有效的方法。

    [关键词]假性动脉瘤;栓塞

    Interventional treatment of traumatic pseudoaneurysm of the head and neck

    ZHANG Hao，QUAN Wei，ZHONG Wenjun，CHEN Yingdong，YU Xiaochun.

    Department of Neurosurgery，Guangzhou First Municipal People's Hospital，Guangzhou510180，China

    [Abstract] Objective To observe the efficacy of interventional treatment of peripheral traumatic pseudoaneurysm.Methods The retrospective study was performed on21patients with traumatic pseudoaneurysms undergone interven-tional treatment during the pass10years.Digital subtraction angiography(DSA)showed the rupture of traumatic arteries and the formation of the cysts.The lesions included10pseudoaneurysm of internal carotid artery，8of external carotid artery and3of subclavian artery.All the patients were performed by endovascular embolotherapy.The embolic agents included coils(with fibered) ......