摘要
目的:总结下颌骨动静脉畸形的诊断与综合治疗经验。方法:回顾性分析本科1998-2004年临床资料完整的下颌骨动静脉畸形5例。患者均经过数字减影血管造影和术前超选择性动脉栓塞治疗,采用的栓塞材料主要为明胶海绵、聚乙烯醇泡沫、附凝血棉纤毛的弹簧圈。1周内手术:2例行下颌骨部分切除术,3例行颌骨病灶搔刮术+自体髂骨松质骨植入术。结果:5例患者经综合治疗后随访1～5年,植骨患者随访X线片显示植骨区有新骨形成。结论:下颌骨动静脉畸形的X线表现不典型,数字减影血管造影具有特异性诊断价值。治疗应采取综合治疗模式。
Objective： To report experiences on diagnosis and complex treatment of arteriovenous malformation（AVM） of the mandible. Methods： 5 cases with mandibular AVM from 1998 to 2004 were studied retrospectively. All patients were scanned by digital subtraction angiography （DSA）. Preoperative treatment included transcatheterarterial embolization （TCAE） with gelatin foam, poly vinyi alcohol （PVA） and fibered coils. Within a week, all 5 cases were underwent operation, including 2 cases with partial resection of mandible, 3 cases with curettage of mandible followed by autogeneous iliac cancellous bone graft. Results： There was no recurrence of AVM in 5 cases during a 1 to 5 years follow-up, and new bone formation was found in those cases with bone transplantation. Conclusion： The characteristic signs of AVM in mandible were not unique on x-ray plain film, and DSA had significant diagnostic value to this disease. The treatment of AVM of the mandible should be in combined manner （DSA ＋ TCAE ＋ Surgery ＋ Plasty）.
出处
《口腔颌面外科杂志》
CAS
2007年第1期68-69,共2页
Journal of Oral and Maxillofacial Surgery
