超选择性颈外动脉介入栓塞术在鼻咽部纤维血管瘤切除术前的应用  

Superselective embolization of external carotid artery in preoperative nasopharyngeal angiofibroma resection

作　　者：邵勇刚[1] 黄婕[2] 程传生[3] 

机构地区：[1]解放军第474医院影像中心,新疆乌鲁木齐830011 [2]新疆维吾尔自治区人民医院放疗中心,新疆乌鲁木齐830000 [3]新疆维吾尔自治区人民医院北院CT室,新疆乌鲁木齐830000

出　　处：《生物医学工程与临床》2010年第5期412-415,共4页Biomedical Engineering and Clinical Medicine

摘　　要：目的探讨鼻咽部纤维血管瘤切除术前介入栓塞的应用价值。方法 17例病理证实的鼻咽部纤维血管瘤患者,其中男性15例,年龄14～22岁;女性2例,年龄13～19岁。采用Seldinger’s法,选取5F Head-Hunter导管行双侧颈内、外动脉造影,了解患者颈内、外动脉有、无异常吻合及肿瘤供血情况后,评估栓塞风险,用明胶海绵栓塞鼻咽部纤维血管瘤的供血动脉。结果接受介入栓塞术患者,1～3d内行肿瘤切除,术中出血量显著减少(<250mL),手术视野清晰,手术时间缩短,有利于肿瘤完全切除。结论超选择性颈外动脉介入栓塞术在鼻咽部纤维血管瘤切除术前的应用,能显著降低肿瘤切除术中的出血量,提高全切率,减少并发症,是临床上行之有效的方法。Objective To discuss the preoperative application value of carotid artery embolization in nasopharyngeal angiofibroma resection.Methods A total of 17 patients with nasopharyngeal angiofibroma confirmed by pathology were enrolled,male 15,aged 14-22 years,female 2,aged 13-19 years.Seldinger＇s method was performed,5 F Head-Hunter catheter was adopted to carry out bilateral internal and external carotid arteriography.The risk of embolization was evaluated after understood inosculation in internal and external carotid artery and tumor blood supply,the feeding artery of nasopharyngeal angiofibroma were embolized with gelatin sponge.Results Tumor resection was performed within 1-3 days in patients accepted embolization.The blood loss reduced obviously,with clear visual field and short operative time,and complete removal of tumor.This approach benefited the complete resection of the tumor.Conclusion It is demonstrated that superselective embolization of external carotid artery in preoperative nasopharyngeal angiofibroma resection could obviously reduce blood loss in tumor resection,increase total removal rate,and reduce complications.Thus it is an effective approach in clinical practice.

关 键 词：颈外动脉 栓塞术 鼻咽部纤维血管瘤 

分 类 号：R739.63[医药卫生—肿瘤]