下颌骨动静脉畸形的介入栓塞和手术治疗  

Embolization and surgical treatment of central arteriovenous malformation of mandibular jaw

作　　者：孟箭[1] 吴海江[2] 张杰[1] 李志萍[1] 顾倩平[1] 郑浩[1] 崔宁[2] 

机构地区：[1]东南大学医学院附属徐州医院口腔科,徐州221009 [2]东南大学医学院附属徐州医院介入科,徐州221009

出　　处：《口腔医学》2006年第5期359-360,共2页Stomatology

摘　　要：目的 探讨下颌骨动静脉畸形的根治性治疗方法和经验。方法 对3例下颌骨动静脉畸形分别予介入栓塞结合手术切除2例，单纯介入栓塞1例，随访并评价治疗效果。结果 随访6～36个月，介入栓塞结合手术切除2例均治愈，保存了下颌骨，骨腔新骨形成，面形及口腔功能恢复良好；单纯介入栓塞的患者，术后3个月牙龈再次大出血，予以切除下颌骨同期修复重建。结论 介入栓塞结合手术治疗下颌骨动静脉畸形，可达根治肿瘤又保存功能的目的。Objective To explore the methods and experience of radical therapy of central arteriovenous malfomlation of the jaw. Methods Among 3 cases with central arteriovenous malformations of the mandibular jaw, 2 cases were treated by intravascular embohzation and curettage, and 1 case was treated by intravascular embolization alone. The patients were followed up and the results of treatment were evaluated. Results After 6-36 months of follow-up, the two patients treated with intravascular embohzation and curettage were successfully healed and had no bleeding, and new bone formation was noted, but the other one was bleeding again 3 months later. Conclusion Intravascular embolization and curettage are effective to radical therapy of jaw with arteriovenous malformationa and retain the function of the jaw to the fullest extent, because permanent eradication of varix may preclude reservoir effect.

关 键 词：栓塞 治疗性 动静脉畸形 下颌骨 

分 类 号：R739.82[医药卫生—肿瘤]