血管内栓塞治疗鼻腔大出血  

Endovascular embolization of epistaxis

作　　者：郭美红[1] 董淑华[1] 曹贵文[1] 孟兆玮[1] 

机构地区：[1]潍坊医学院附属医院,山东潍坊261031

出　　处：《医学影像学杂志》2004年第6期439-440,共2页Journal of Medical Imaging

摘　　要：目的 :探讨血管内栓塞治疗鼻腔大出血的可行性。方法 :2 2例中有外伤者 2 0例 ,用明胶海绵或弹簧圈栓塞颈外动脉分支 15例 ,弹簧圈闭塞患侧颈内动脉 7例。结果 :全部病例一次栓塞成功 ,无严重并发症发生。栓塞后住院观察 6～ 13d后痊愈出院 ,随访 2～ 3月均无再次出血 ,亦无相关并发症发生。结论 :血管内栓塞治疗鼻腔大出血安全、可靠 ,疗效肯定 ,应在保守治疗无效时作为首选的治疗方法。Objective:To explore the feasibility of endovascular embolization for treatment of epistaxis.Methods:22 patients were involved,20 of them had tramatic history. Branches of external carotid artery were occlued with gelatin sponge or coils in 15 cases, while occlusion of internal carotid artery with coils were performed in 7 cases.Results:Satisfactory results were achieved without serious complications.No recurrence of epistaxis occured in 2～3 months follow-up.Conclusion:Endovascular embolization is safe and effective in treatment of epistaxis. It should be the first choice when conservative treatment was no effect.

关 键 词：鼻出血 放射学 介入性 栓塞 

分 类 号：R765.23[医药卫生—耳鼻咽喉科] R815[医药卫生—临床医学]