数字减影血管造影在耳鼻咽喉科应用的初步报告  

Digital Subtraction Angiography in Otorhinolaryngology-preliminary Report

作　　者：刘邦华[1] 汪吉宝[1] 毕胜斌[1] 余青松[1] 杨建勇[1] 刘刚[1] 

机构地区：[1]同济医科大学附属协和医院耳鼻咽喉科

出　　处：《中华耳鼻咽喉科杂志》1994年第3期158-160,T029,共4页Chinese Journal of Otorhinolaryngology

摘　　要：对１１例耳鼻呐喉科疾病进行了数字减影血管造影（ＤＳＡ）检查，其中１０例同时行栓塞治疗。通过ＤＳＡ可以了解各种血管瘤的供血来源、病变范围、静脉引流等情况，术前栓塞肿瘤的供血血管，术中出血量明显减少。对外伤性鼻出血，应用ＤＳＡ在直视下辨明出血血管，栓塞该血管达到止血目的。对外伤性假性动脉瘤，通过ＤＳＡ可确定病变部位，且可同期进行栓塞治愈。并对Ｄ８Ａ在耳鼻咽喉科应用的适应症，并发症及其预防措施进行了讨论。The paper presents the preliminary experience with digital subtraction angiography(DSA)in otorhinolaryngology.This series included cirsoid aneurysm of the auricle in 3 cases,juvenile angiofibroma of nasopharynx in 4 cases,angioma in the retropharyngeal space in 1 case,tympanic body tumer in 1 case,traumatic epistaxis in 1 case,traumatic pseudoaneurysm in 1 case. The site,supply ar- teries,drainage veins of vascular tumors were shown with DSA. The intraoperative bleeding was re- duced significantly by preoperative embolization of supply arteries to vascular tumors.The broken ar- teries of the traumatic epistaxis and the traumatic pseudoaneurysm were not only discovered but embolized,The indications and complications of DSA and measures for preventing and reducing com- plications were discussed.

关 键 词：血管造影术 耳鼻咽喉科 疾病 

分 类 号：R816.96[医药卫生—放射医学]