头颈部高血运肿瘤术前栓塞  

Preoperative Embolization Therapy for Hypervascular Tumors in Head-Neck

作　　者：高国栋[1] 赵振伟[1] 秦怀洲[1] 李永林[1] 梁秦川[1] 贾栋[1] 王学廉[1] 李铁[1] 田应德[1] 

机构地区：[1]第四军医大学唐都医院神经外科,西安710038

出　　处：《中国临床神经外科杂志》2000年第3期135-137,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的 探讨头颈部高血运肿瘤术前栓塞的作用和适应征。方法 采用经皮穿刺插管选择性全脑血管造影和颈外肿瘤供血动脉术前3～5天血管内栓塞230例,所用栓塞材料为自制明胶海绵微粒,3.6～5F造影导管,2ml注射器不断注入造影剂观察,直至肿瘤血管染色消失。结果 栓塞后肿瘤手术出血明显减少,平均每例手术输血量减少1/3。栓塞后无永久性并发症发生。结论 头颈部高血运肿瘤手术切除前均应争取全脑血管造影,肿瘤供血动脉的术前血管内栓塞可明显减少术中出血,有利于顺利全切肿瘤。Objective To evaluate the effect and indication of preoperative embolization in the treatment of head-neck hy-pervascular tumors. Method Data of 230 patients with hypervascular head-neck tumors, who received cerebral angiography and subsequently underwent selective cathetering embolization, were retrospectively analyzed. Results The average blood loss of patients , in whom the supplying arteries of the trmor had been embolized 3-5 days before operation, was significandy reduced than those in the patients who were not embolized. There were no permanent compcications after operation in this series of patients. Conclusions The authors concluded that angiography should be carried out as often as possible in patients with hypervascular tumors in the head-neck region and the preoperative embolization can not only minimize blood loss during surgery, but also facibtate complete removal of the tumor.

关 键 词：头颈部肿瘤 血管内栓塞 治疗 术前栓塞 

分 类 号：R739.91[医药卫生—肿瘤]