摘要
目的 :评价血管栓塞术在颌面及耳鼻喉疾病的临床应用价值。方法 :经DSA检查证实的 1 9例颌面及耳鼻喉疾病的患者经导管施行血管内栓塞术 ,选择性靶血管和 /或患侧颈外动脉主干栓塞。结果 :外伤性鼻出血 2例、动脉瘤及动静脉畸形 3例经栓塞后痊愈 ,另 1 4例先施行血管内栓塞术 ,再择期外科手术切除 ,栓塞后手术野清晰 ,术中出血减少 ,实体瘤更易于辩认、切除。结论 :血管内栓塞术在颌面外科及耳鼻喉部的血管性病变中 ,其效果与外科动脉结扎术相近 ,且具有少创、快速准确、成功率高、康复快、可重复治疗的优点。在栓堵实体瘤病变中 ,可有效控制肿瘤增长及术中出血 ,有利于提高手术的成功率 。
Objective:To assess the value of intravascular embolization in maxillofacial and ear nose throat(ENT) diseases.Methods:19 patients with maxillofacial and ENT diseases proved by DSA were performed transcatheter intravascular embolization,by which the selective targeted vessel and/or external carotid trunk was embolized.Results:Following embolization,2 cases of traumatic bleeding,3 cases of aneurysm and arterio venous malformation were cured.The other 14 cases who underwent embolization were selected to surgical resection,by which the operative region was clear,the bleeding was reduced during operation and the tumor was easily identified and resected.Conclusion:In treatment of maxillofacial or ENT vascular diseases,intravascular embolization has the same curative effect as arterial ligation.It also has the merits of microinvasion,rapidity,accuracy,high success and repeatability. Intravascular embolization on solid tumor is helpful for restraining the growth of the tumor and controlling the haemorrhage during operation as well as improving the surgical success with low complications.
出处
《放射学实践》
2003年第2期80-82,共3页
Radiologic Practice
