颌面部创伤性动静脉畸形的临床治疗分析  

Clinical management of traumatic arteriovenous malformations in oral and maxillofical region

作　　者：司亚萌[1] 孟箭[1] 张兴[1] 张爱侠[1] 郑浩[1] 孟庆飞[1] 

机构地区：[1]东南大学医学院附属徐州医院口腔颌面外科,徐州221000

出　　处：《中华口腔医学研究杂志（电子版）》2013年第1期43-46,共4页Chinese Journal of Stomatological Research(Electronic Edition)

基　　金：徐州市卫生局课题(XWJ2011020)

摘　　要：目的探讨颌面部创伤性动静脉畸形(AVMs)的治疗方法。方法 2006-2011年东南大学附属徐州医院口腔颌面外科共收治5例颌面部创伤性AVMs患者,根据病程及病变累及范围将其分为急性和慢性创伤性AVMs;2例急性动静脉畸形行手术切除,3例慢性动静脉畸形采用动脉血管内无水乙醇栓塞加局部穿刺无水乙醇栓塞的治疗方法(双介入治疗)。结果所有病例经过0.5～6年的随访,手术治疗2例治愈;"双介入治疗"2例治愈,1例好转,无严重并发症发生。结论动脉血管内无水乙醇栓塞加局部穿刺无水乙醇栓塞治疗是治疗创伤性AVMs的一种有效、安全的方法。Objective To discuss the treatment for traumatic arteriovenous malformations （AVMs） in oral and maxillofical region. Methods Five patients with AVMs in oral and maxillofical region, admitted to Xuzhou affiliated hospital of southeast university during 2006 and 2011, were classified into acute AVMs and chronic AVMs by the duration of the disease. Two patients with acute AVMs underwent surgical excision, other three patients with chronic AVMs were subjected to endovascular embolization therapy using absolute alcohol combined with intralesional alcohol injection （double-intervention therapy）. Result After 0.5-6 years follow-up, four patients were cured （including two patient underwent surgical excision and two patients treated with double-intervention therapy） and one was improved. No serious adverse effects were encountered. Conclusion Double-intervention therapy, seemed to be a safe and effective method for the treatment of chronic AVMs.

关 键 词：创伤性 动静脉畸形 介入栓塞 无水乙醇 

分 类 号：R782[医药卫生—口腔医学]