摘要
目的 研究颌面部血管性疾病的影像学诊断与治疗的临床意义。方法 对 1988年 8月至 2 0 0 0年7月的 12年间在我院就诊的 12例颌面深部血管性疾病的放射学检查及治疗效果进行评价。结果 12例均行 DSA造影检查。 7例经血管造影明确诊断后 ,即经导管作超选择性颈外动脉分支的栓塞治疗 ,其中 3例血管畸形的患者经永久性栓塞治疗治愈 ,随诊 3年无复发 ;2例经永久性栓塞治疗后均于 1年内复发 ,经再次栓塞及手术 ,病理证实为蔓状血管瘤 ;另 2例经栓塞治疗后 1周内行手术治疗 ,病理诊断亦为蔓状血管瘤。其余 5例造影后行手术治疗 ,病理诊断除 1例为海绵状血管瘤外 ,均为毛细血管瘤。结论 血管造影是颌面深部血管性病变的重要诊断手段 ;手术是颌面深部血管性疾病主要的治疗措施 ;
WT5”BZ]Objective To investigate the clinical significance of both X ray diagnosis and the integrated treatment of deep maxillofacial vascular disease. Methods Twelve patients underwent DSA examinations and integrated treatments over 12 year period between August 1988 and July 2000 in our department were evaluated. Results After DSA examination, seven cases were confirmed to be fit for embolixation and super selective transcatheterarterial embolization(TCAE) were performed. Of the seven cases, three were cured after the permanent embolization with no recurrence following 3 years observation, 2 cases had relapse and suffered another TCAE and an operation(pathological report confirmed that the two cases were angioma arteriale racemosum), while of other 2 cases were accepted operation just three days after that(the two cases were also pathologically confirmed angioma arteriale racemosum). The other five cases were also accepted operation successfully(pathological report confirmed that they were capillary hemangioma except one cavernous hemangioma).Conclusion Our results revealed that DSA is an important means in the diagnosis of deep maxillofacial vascular disease,while the surgical resection is the major therapeutical method. The ideal treatment for deep maxillofacial vascular disease depends on the reasonable cmobined of various methods. [WT5”HZ]
出处
《临床口腔医学杂志》
2000年第4期216-218,共3页
Journal of Clinical Stomatology
关键词
颌面部深部血管性疾病
诊断
综合治疗
Maxillofacial region
Deep vascular disease
Diagnosis
Complicated treatm
