标题:
术前栓塞鼻咽纤维血管瘤的疗效分析The Efficacy of Pre-Surgical Embolization of Nasopharyngeal Angiofibroma
作者:
韦传军, 叶丹, 逄杰, 李新民
关键字:
鼻咽部纤维血管瘤, 血管成形术, 栓塞Nasopharyngeal Fibroangioma, Angioplasty, Embolization
期刊名称:
《Medical Diagnosis》, Vol.5 No.3, 2015-09-29
摘要:
目的：探讨术前栓塞鼻咽部纤维血管瘤供血动脉的临床疗效。方法：采用Seldinger技术，超选择插管对肿瘤颈外供血动脉进行栓塞后1~3 d内手术切除。结果：12例患者，患侧颌内动脉供血9例，合并咽升动脉供血1例。双侧颌内动脉分支供血2例，患侧颌内动脉及颈内动脉分支供血1例；均未发生严重并发症；栓塞后11例完整手术切除，1例部分切除拟分期手术。术中平均出血约380 ml。结论：术前血管栓塞鼻咽部血管瘤可有效减少术中出血，并增加肿瘤切除率。
Objective: To investigate the clinical efficacy of
pre-surgical embolization of nasopharyngeal angiofibroma. Methods: Using
Seldinger technique, 12 cases with nasopharyngeal angiofibroma underwent
superselective feeding arteries emboilization, and then 1 - 3 days later, the angiofibroma
was cut. The intraoperative blood loss was recorded. Results: For the 12 cases,
9 cases of nasopharyngeal angiofibroma were supplied by single-side internal maxillary
artery, and 1 case combined with ascending pharyngeal artery, the bilateral
internal axillary artery was in 2 patients, and the same lateral axillary
artery and the branches of the internal carotid artery was in 1 patient. No
serious complication happened after embolization. After thrombosis, in 11 cases
underwent complete surgical resection, 1 case was of resection to staging
surgery. All lesions were radical removed. The average intraoperative blood loss
was 380 ml. Conclusion: The pre-surgical embolization of nasopharyngeal
angiofibroma can reduce the intraoperative blood loss and increase radical
resected rate.