摘要
目的探讨选择性动脉栓塞治疗鼻咽癌放疗后鼻咽部出血的临床应用价值。方法对52例鼻咽癌放疗后鼻咽部出血患者行双侧颈外动脉及分支血管造影,应用PVA、KMG、明胶海绵及弹簧栓栓塞。结果:动脉栓塞后50例成功止血,2例栓塞后分别2天和5天后再次鼻咽大出血死亡。2例出现视力下降和失明,1例出现面瘫。结论鼻咽癌放疗后鼻咽部出血应用选择性动脉栓塞治疗效果肯定,有很好的临床应用价值。
Objective： To explore the clinical application of selective extemal carotid artery embolization in nasopharyngeal hemorrhage after radiotherapy for nasopharyngeal cancer. Methods： 52 patients with nasopharyngeal hemorrhage after radiotherapy for nasopharyngeal cancer underwent femoral puncture and bilateral external carotid arteriography. Selective embolization was done with PVA, KMG, gelatin sponge, spring steel coil. Results： 50 of 52 patients received embolization therapy successfully. 2 patients died due to nasopharynx rebleeding on the 3nd and 5th day after interventional therapy. Loss in sight and cecity was found in 2cases and facioplegia was found in one case after interventional therapy. Conclusion： Selective bilateral external carotid artery embolization for treating nasopharyngeal hemorrhage after radiotherapy for nasopharyngeal cancer has advantages, which is worthy in clinical application.
出处
《当代医学》
2009年第11期173-174,共2页
Contemporary Medicine
关键词
鼻咽肿瘤
放射疗法
栓塞
治疗性
Nasopharyngeal neoplasms
Radiolotherapy
Embolization, therapeutic
