摘要
目的 探讨介入治疗在急性顽固性鼻出血的临床应用价值。方法 2 0例经常规治疗无效的鼻腔大出血者 ,均采用经导管颌内动脉造影 ,证实出血部位后用PVA和明胶海绵颗粒栓塞出血动脉 ,栓塞后立即抽出鼻腔填塞物观察出血是否停止。结果 2 0例患者均发现出血动脉 ,栓塞后出血立即停止 ,未见严重并发症。结论 经导管动脉栓塞术是治疗急性顽固性鼻出血的有效手段 ,其创伤小疗效肯定。
Objective To investigate the value of transcatheter arterial embolization in the treatment of obstinate nosebleeding. Methods Twenty patients with obstinate nosebleed failed with conventional therapy were performed internal maxillary arterial angiography. Transcatheter arterial embolization were carried out immediately after occurance of nosebleeding. PVA or gelfoam particles were injected into the bleeding arteries under fluoroscopy control. Nasal packing was removed to see whether bleeding was stopped. Results Active bleeding occurred in all 20 patients during angiography but was stopped in all patients after embolization without severe complications. Conclusions Transcatheter arterial embolization is an useful mini-invasive method in the treatment of obstinate nosebleeding.
出处
《介入放射学杂志》
CSCD
2004年第6期515-516,共2页
Journal of Interventional Radiology
