术前栓塞鼻咽纤维血管瘤的疗效分析
The Efficacy of Pre-Surgical Embolization of Nasopharyngeal Angiofibroma

作者: 韦传军 , 叶丹 , 逄杰 :解放军71217部队医院介入放射科,山东 莱阳; 李新民 :解放军456医院介入中心,山东 济南;

关键词: 鼻咽部纤维血管瘤血管成形术栓塞Nasopharyngeal Fibroangioma Angioplasty Embolization

摘要: 目的:探讨术前栓塞鼻咽部纤维血管瘤供血动脉的临床疗效。方法:采用Seldinger技术,超选择插管对肿瘤颈外供血动脉进行栓塞后1~3 d内手术切除。结果:12例患者,患侧颌内动脉供血9例,合并咽升动脉供血1例。双侧颌内动脉分支供血2例,患侧颌内动脉及颈内动脉分支供血1例;均未发生严重并发症;栓塞后11例完整手术切除,1例部分切除拟分期手术。术中平均出血约380 ml。结论:术前血管栓塞鼻咽部血管瘤可有效减少术中出血,并增加肿瘤切除率。

Abstract: Objective: To investigate the clinical efficacy of pre-surgical embolization of nasopharyngeal angiofibroma. Methods: Using Seldinger technique, 12 cases with nasopharyngeal angiofibroma underwent superselective feeding arteries emboilization, and then 1 - 3 days later, the angiofibroma was cut. The intraoperative blood loss was recorded. Results: For the 12 cases, 9 cases of nasopharyngeal angiofibroma were supplied by single-side internal maxillary artery, and 1 case combined with ascending pharyngeal artery, the bilateral internal axillary artery was in 2 patients, and the same lateral axillary artery and the branches of the internal carotid artery was in 1 patient. No serious complication happened after embolization. After thrombosis, in 11 cases underwent complete surgical resection, 1 case was of resection to staging surgery. All lesions were radical removed. The average intraoperative blood loss was 380 ml. Conclusion: The pre-surgical embolization of nasopharyngeal angiofibroma can reduce the intraoperative blood loss and increase radical resected rate.

Abstract:

文章引用: 韦传军 , 叶丹 , 逄杰 , 李新民 (2015) 术前栓塞鼻咽纤维血管瘤的疗效分析。 医学诊断, 5, 44-46. doi: 10.12677/MD.2015.53009

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