摘要
目的：探讨选择性鼻咽纤维血管瘤供血动脉术前栓塞的临床应用价值。方法：回顾分析15例病理证实的鼻咽纤维血管瘤忠者，根据供血动脉的粗细，选择明胶海绵微粒、PVA、钢圈术前栓塞，术中以出血量多少判断瘤体栓塞效果。结果：13例术中出血量明显减少。2例由颈外动脉、颈内动脉系统同时供血，仅选择性栓塞上颌动脉，术中出血量较多，栓塞后1～4d手术最为理想。结论：鼻咽纤维血管瘤术前栓塞，能有效降低术中出血量，提高全切率，减少并发症，是临床上有效的治疗方法之一。
Objective：To study the practical value of preoperative selective intraarterial embolization in the surgical treatment of Nosopharynegal angiofibroma. Methods：15 patients with nasopharyngeal angiofibroma confirmed after surgery and biopsy were retrospectively analysed Bilateral earotil artery angiograpy was perfromed for demerstration of the arterial supply of sturer. According to the size and different caliber of arteries, embolization were seperatily undertaken by gelatin sponge, PVA or different of coil . The embolization was evaluated by amount of blood loss. Results： 15 cases underwent operation after selective embolization of blood supplying arteries and the amount of blooding in operation was thus reduced greatly in 13 cases, wiil the blood loss during the surgery of another 2 cases was still considerable because both onternal carotid artery and internal carotid artery supplied the tumor with only embolization of maxillary artery. Optimism time for the operation was taken on 1-4 days after the embolization. Conclusion：Preoperative embolization is safe, reliable with less complication especially for reducing intraoperative blood loss and promoting the prognosis, is a valuable method of choice for the clinical treatment.
出处
《内蒙古医学杂志》
2006年第6期496-498,共3页
Inner Mongolia Medical Journal
关键词
鼻咽纤维血管瘤
栓塞
上颌动脉
Nasopharyngeal angiofibroma
Embolization
Manillary artery
