鼻咽癌放疗后大出血的动脉栓塞治疗  

Arterial embolotherapy of nasopharyngeal carcinoma with intractable epistaxis after radiotherapy

作　　者：刘启榆[1] 王忠[1] 谢步东[1] 林华[1] 杨伟[1] 杨勇[1] 钟唐力[1] 罗海燕[1] 

机构地区：[1]绵阳市中心医院介入放射诊疗中心,四川621000

出　　处：《当代医学》2009年第5期49-50,共2页Contemporary Medicine

摘　　要：目的探讨鼻咽癌放疗后大出血动脉栓塞治疗的临床疗效。方法12例经病理证实的鼻咽癌放疗后大出血病人,行选择性颈内、颈外动脉造影及病变供血动脉弹簧圈栓塞。结果12例行造影及颅外供血动脉栓塞成功,9例见造影剂外溢,2例有颈内动脉供血;所有患者均无严重并发症;随访时间0.5～8年,死亡4例,其中1例1月后再次大出血后死亡;11例未再出血,4例行栓赛后再次行放射治疗。结论动脉栓塞是鼻咽癌放疗后大出血的一种安全有效的治疗方法。Objective： To study the clinical therapeutic effect of arterial embolotherapy of nasopharyngeal carcinoma with intractable epistaxis after radiotherapy. Methods：12 cases of nasopharyngeal carcinoma with intractable epistaxis after radiotherapy confirmed by pathology were performed selective angiography with internal carotid artery and external carotid artery and embolization with coil in feeding arteries. Results： 12 patients were performed angiography and embolism successfully, 9 cases revealed contrast material extravasation, 2 cases with internal carotid artery blood-supply; All cases had no complication occurred; the follow-up time were 0.5-8 years, 4 patients died, 1 case died of massive hemorrhage after one month, 11 cases had no rehaemorrhagia. 4 cases were performed radiotherapy after embolism. Conclusion： Arterial embolism was a safe and effective method to remedy nasopharyngeal carcinoma with intractable epistaxis after radiotherapy.

关 键 词：鼻咽癌 放疗 血管造影 动脉栓塞 

分 类 号：R739.63[医药卫生—肿瘤]