介入栓塞术在头颈部肿瘤放疗后出血中的应用  

Application of interventional embolization in treatment of hemorrhage after radiotherapy in patients with head and neck cancer

作　　者：卢浩浩[1] 熊斌[1] 郑传胜[1] 梁明[1] 曾军[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院介入放射科,湖北武汉430022

出　　处：《中国介入影像与治疗学》2014年第11期701-704,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的评价介入栓塞术用于治疗头颈部肿瘤放疗后出血的可行性及安全性。方法收集20例因头颈部肿瘤放疗后大出血患者,对所有患者介入栓塞治疗,观察介入栓塞术的疗效及并发症。结果 20例患者共接受介入栓塞治疗21次;4例患者出血责任血管为颈内动脉,采用弹簧圈栓塞颈内动脉载瘤段,15例患者责任血管为上颌动脉分支,采用明胶海绵或聚乙烯醇(PVA)颗粒栓塞;1例患者为右侧甲状腺下动脉分支假性动脉瘤,采用PVA颗粒及弹簧圈栓塞。对所有患者治疗均有效,随访期内均未出现严重并发症。结论介入栓塞术治疗头颈部肿瘤放疗后出血有效、安全。Objective To evaluate the feasibility and security of interventional embolization in treatment of hemorrhage after radiotherapy in patients with head and neck cancer.Methods Twenty cases of head and neck cancer with hemorrhage after radiotherapy received interventional embolization.The efficacy and complications of interventional embolization were observed.Results Totally 21 times of interventional embolization were performed in the 20 patients.The bleeding liability vessel was internal carotid artery in 4cases,which were embolized by spring coils.The bleeding liability vessel was maxillary artery branch in 15 cases,which were embolized by gelfoam or polyvinylalcohol（PVA）particles.Pseudoaneurysm of the thyroid artery was observed in 1case,which was embolized by PVA combined with spring coils.The interventional embolization was effective in all the patients,and no serious complications occurred during the follow-up period.ConclusionInterventional embolization is effective and safe in treatment of hemorrhage after radiotherapy in head and neck cancer.

关 键 词：头颈部肿瘤 出血 栓塞 治疗性 

分 类 号：R739.91[医药卫生—肿瘤]