摘要
目的 观察数字减影血管造影（DSA）联合选择性栓塞术治疗耳鼻喉科出血性疾病的疗效。方法 采用DSA联合选择性栓塞术治疗35例顽固性鼻出血和5例鼻咽纤维血管瘤患者，观察其治疗效果。结果 DSA可明确显示异常出血或肿瘤的异常供血血管，35例顽固性鼻出血患者选择性颌内动脉栓塞一次治愈率为91．43％；5例鼻咽纤维血管瘤患者术前3d行选择性颌内动脉和面动脉栓塞可明显减少术中出血，出血量200—400ml，术中肿瘤易于快速、彻底剥离。结论 DSA联合选择性栓塞术可作为迅速治愈顽固性鼻出血及明显减少鼻咽纤维血管瘤术中出血的有效治疗方法。
Objective To observe the clinical effect of digital subtraction angiography （DSA） with selected embolization in treatment of hemorrhagic diseases in otolaryngology. Methods Totally 35 patients with stubborn epistaxis and 5patients with nasopharyngeal angiogibroma were treated by DSA with selected embolization. The clinical effects were retrospectively analyzed. Results The vessels of abnormal bleeding or blood supply to tumor were clearly demonstrated by DSA. The effective rate of selected internal maxillary artery embolization for the first time in the 35 patients with stubborn epistaxis was 91.43%. Blood loss during the operation of nasopharyngeal angiogibroma in the 5 patients obviously decreased （about 200 - 400 ml） by selected internal maxillary artery and facial artery embolization 3 days before the operation, and tumor tissue could be easily and quickly cut off. Conclusion DSA with selected embolization could be an effective method to cure stubborn epistaxis quickly and obviously decrease the blood loss during the operation of nasopharyngeal angiogibroma.
出处
《中国全科医学》
CAS
CSCD
2008年第17期1585-1586,共2页
Chinese General Practice
关键词
血管造影术
数字减影
鼻出血
血管瘤
Angiography, digital substraction
Epistaxi
Angiomatosis
