头颈部富血管病变超选择动脉插管栓塞治疗  

Transcatheter Superselective Arterial Embolization Treatment of Cephalocervical Hypervascular Lesions

作　　者：王维[1,2] 王小宜[1,2] 罗贤明[1,2] 刘晟 王焕申[1,2] 彭仁罗 

机构地区：[1]湖南医科大学附属第三医院放射科 [2]湖南医科大学附属湘雅医院放射科

出　　处：《临床放射学杂志》1999年第5期299-301,共3页Journal of Clinical Radiology

摘　　要：目的：探讨头颈部富血管病变栓塞治疗的效果、可能的并发症和处理方法。材料与方法：对５９例患者在颈外动脉分支超选择插管以后，用ＩＢＣＡ、明胶海绵或线段进行栓塞治疗。结果：部分患者栓塞即获得根治效果，部分患者在栓塞后进行手术治疗。术中观察，肿块缩小，出血明显减少。所有病例均未发生严重并发症。结论：本组病例的治疗表明，对于头颈部富血管病变，在优良的血管造影的基础上，充分超选择插管，在避开异常交通动脉以后。Objective: To evaluate the effectiveness of transcatheter arterial embolization for cephalocervical hypervascular lesions. Materials and Methods: By superselective catheterization, embolization with Gelfoam or segments of suture was safely performed in 59 cases. Some of the patients underwent a surgery after embolization. Results: Obvious shrink of the treated lesions was observed, and blood loss during the surgery was remarkably reduced. No serious complications were encountered in all cases. Conclusion: Transcatheter arterial embolization is an effective and safe therapeutic method for cephalocervical hypervascular lesions when angiography and superselective catheterization are perfectly done. It is very important to be familiar with the normal cephalocervical vascular anatomy and its variations.

关 键 词：富血管病变 头颈部病变 动脉插管 栓塞疗法 

分 类 号：R814.4[医药卫生—影像医学与核医学]