摘要
目的:探讨颌面部血管瘤数字减影成像(digital subtraction angiography,DSA)显影下血管栓塞术适应证及临床疗效。方法:选择19例头颈部血管瘤患者行DSA血管成像术,21次成功地对颈外动脉分支进行了介入栓塞治疗:A组11例,为永久性栓塞,其中5例术后再用硬化剂行瘤体封闭;B组共8例,为术前栓塞,以减少手术中出血。结果:DSA血管成像19例清晰显示动脉期像。术后16例随访6个月～5年:A组栓塞后瘤体明显缩小,局部打硬化剂者疗效更佳;B组中,4例鼻咽纤维血管瘤术中出血平均仅150ml,2例蔓状血管瘤术中出血平均200ml。2例患者出现短期轻度复视和偏瘫。结论:DSA下动脉栓塞治疗对蔓状血管瘤,有明确责任动脉的海绵状血管瘤显示良好的临床疗效,栓塞后辅助硬化剂注射可减少复发,对鼻咽纤维血管瘤等的术前栓塞可明显减少术中出血。
Objective: To investigate the indication of interventional embolization in maxillofacial hemangioma and to analyse its curative effects. Method: From 1995 to 2002, 19 patients with maxillofacial hemangiomas were selected to get digital subtraction angiography (DSA), and treat by inter-vention-embolization successfully. Among 19 cases, 11 cases were got a permanent embolization (group A), 8 cases were treated by preoperative embolization to decrease operative bleeding. Result: Nineteen cases appeared clear angiography of arterial phrase and 16 cases were followed-up 6 months to 5 years. In group A, 10 were cured and 1 case recurrent. In group B, 4 cases of nasopharyngeal an-giofibromas had a average operative bleeding of 150ml, 2 cases of hemangioma racemosum had 200ml. There were 2 cases presented lightly temporary diplopia and paralysis. Conclusion: Using of DSA, interventional embolization showed an excellent clinic effect on treatment of hemangioma racemosum and cavernous hemangioma with obvious supply. To carcinoma with rich blood supply, preoperative embolization could be reduce the operative bleeding efficiently.
出处
《耳鼻咽喉（头颈外科）》
2003年第2期91-94,共4页
Chinese Arch Otolaryngology-Head Neck Surg
