不同栓塞剂治疗头面部肿瘤和血管性病变  

Embolotherapy of craniofacial tumors and vascular diseases:Assessing the effect of different embolic agents

作　　者：杜端明[1] 冯敢生[1] 梁惠民[1] 郑传胜[1] 

机构地区：[1]同济医科大学附属协和医院放射科,武汉430022

出　　处：《临床耳鼻咽喉科杂志》1998年第6期266-268,共3页Journal of Clinical Otorhinolaryngology

摘　　要：为评价不同栓塞剂用于头面部肿瘤和血管性病变栓塞治疗的疗效，将21例患者分为3组（明胶海绵组、白芨组和弹簧钢圈组）进行治疗。结果发现，明胶海绵组8例术前栓塞达到预期目的，术中分离容易，出血减少，有1例术后1个月血管再通，3例效果好；白芨组均达到预期效果；弹簧钢圈组3例栓塞术后发现侧支供血动脉，2例达到预期目的。认为，头面部肿瘤和血管性病变均适宜栓塞治疗。栓塞剂的选用在术前栓塞时以明胶海绵为佳，如有必要可加用弹簧钢圈；姑息性栓塞治疗如果技术条件好以白芨粉为佳。一般无严重并发症。To assess the effect of different embolic agents in curing craniofacial tumors andvascular diseases, 21 patients who were treated by intra-arterial embolisation were divided intothree groups: gelfoams, bletilla striatas and coils. The results showed that 8 cases of preoperativepatients in gelfoams group had a good effect and bleeding were reduced during operation. One patient had vascular recanalization at l month after embolization with gelfoam. All patients in bletillastriatas had ideal effect. In coils group, collateral supplying arteries were found in 3 patients atonce after embolization and the others had a good effect. In conclusion, craniofacial tumors andvascular diseases were fit to embolotherapy. The selection of embolic agents should be gelfoam inpreoperative embolization and bletilla striata in palliative treatment There were not severe complications.

关 键 词：头面部 栓塞剂 治疗 血管性病变 头面部肿瘤 

分 类 号：R739.910.5[医药卫生—肿瘤] R543.05[医药卫生—临床医学]