摘要
目的探讨鼻咽癌放疗后颈内动脉假性动脉瘤破裂大出血的救治方法。方法3例鼻咽癌放疗后颈内动脉假性动脉瘤破裂大出血病人,采用数字减影血管造影术检查,明确颈内动脉假性动脉瘤破裂部位,在双侧大脑血管造影明确脑底Willis环交通通畅后,用球囊栓塞颈内动脉破裂处。结果3例均止血成功。1例术后1周后死亡;1例出院后3个月死亡,死因不明;另1例存活至今。结论对脑底Willis环交通通畅者,采用颈内动脉栓塞治疗鼻咽癌放疗后颈内动脉假性动脉瘤破裂大出血止血效果确切。但对于有放射性脑病的病人可能发生严重的并发症。
Objective To study the method of controlling the problematic massive epistaxis due to pseudoaneurysm of the internal carotid artery in patients irradiated for nasopharyngeal carcinoma （NPC）. Methods The digital subtraction angiography and embolization were used in three patients suffering from severe or recurrent epistaxis after irradiation for NPC. Pseudoaneurysms of the internal carotid artery were seen on the angiograms. After confirming that the Willis circulus had not been obstructed, we used saccules to embolize the internal carotid artery. Results The ruptured artery in the three cases was successfully embolized. One died of severe neurological deficits one week after operation Two discharged from hospital, but one died after three months, the other is still alive. Conclusion Embolization is an effective method of controlling refractory epistaxis due to pseudoaneurysm of the internal carotid artery in NPC patients radiative. But in those who had radiative encephalopathy, severe complications may occure.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2005年第6期396-399,共4页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
鼻出血
鼻咽肿瘤/放射疗法
假性动脉瘤
介入治疗
Epistaxis
Nasopharyngeal cancer/Irradiation
Aneurysm false
Interventional radiology
