摘要
目的探讨数字减影血管造影(DSA)及选择性动脉栓塞在顽固性鼻出血诊断和治疗方面的临床价值。方法回顾性总结因反复鼻出血、多次鼻后孔栓塞失败的15例顽固性鼻出血患者,在DSA下行选择性血管栓塞治疗的有关资料。结果15例患者全部栓塞成功,其中1例栓塞2次,无1例出现严重并发症。术后随访1月至2年无复发。结论对于传统的后鼻孔栓塞、烧灼等保守治疗无效的顽固性鼻出血患者,在DSA下诊断和血管内栓塞治疗不失为一种安全、有效的诊断、治疗方法。
Objective To discuss the clinic value of digital subtraction angiography (DSA)and selected transarterial embolization in diagnosis and treatment of troublesome epistaxis.Methods Retrospective analysis was made on the 15 pationts with troublesome epistaxis selective artery embolization under DSA after failures of choanae packing who had been performed.Results Above-mentioned procedures were performed successfully in all the 15 patients,1 case of them was performed again,no serious complication occurred.During the following up from 1 to 24 months,no patients occurred nose bleeding.Conclusion Diagnosis and transarterial embolization under DSA are safe,effective and successful for troublesome epistaxis cavit failed through conservative way such as choanae packing,laser treatment,etc.
出处
《实用医药杂志》
2005年第4期299-301,共3页
Practical Journal of Medicine & Pharmacy
关键词
鼻出血
数字减影血管造影
血管内栓塞术
介入性
Epistaxis Digital subtraction angiography Transarterial embolization ntervention
