介入治疗在鼻咽血管纤维瘤的临床应用  

Interventional techniques for the diagnosis and treatment of nasopharyngeal angiofibroma

作　　者：张克辉[1] 游龙贵[1] 张小安[1] 王富华[1] 王心涛[1] 刘遗斌[1] 肖道雄[2] 

机构地区：[1]江西省赣州市人民医院(南昌大学附属赣州医院)耳鼻咽喉头颈外科,江西赣州341000 [2]江西省赣州市人民医院(南昌大学附属赣州医院)影像科,江西赣州341000

出　　处：《中国医学文摘（耳鼻咽喉科学）》2016年第1期34-36,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的探讨介入诊疗技术(血管造影和栓塞)在鼻咽部血管纤维瘤的临床应用价值。方法回顾性分析10例鼻咽部血管纤维瘤患者(栓塞组)的选择性动脉造影与栓塞的临床资料,并选择10例术前未行栓塞的单纯手术切除者为对照组(未栓塞组)。结果 10例鼻咽部血管纤维瘤患者经血管造影检查均能明确诊断,能显示瘤体的范围、供血动脉等清晰的动态图像及其特征。栓塞组手术切除术中平均出血量400 ml,较未栓塞组平均出血量1500 ml明显减少。所有栓塞组病例术中术后均无严重并发症发生,手术切除后未见复发,未栓塞组2例复发。结论血管造影(DSA)能明确鼻咽部血管纤维瘤的诊断,血管内栓塞有良好的治疗效果,可减少术中的出血量,大大提高手术的安全性。Objective To investigate the clinical value of interventional techniques including angiography, emboliza- tion and DSA in the treatment of nasopharyngeal hemangioma. Methods Ten patients with nasopharyngeal angiofibroma treated by selective arteriography and embolization were reviewed retrospectively. Also, 10 patients treated only with simple oper- ative resection instead of emboligation were selected as control group. Results Ten patients who underwent selective arte- riography and embolization obtained the correct diagnoses. The extent of lesion, the amount of vascularity, the nature of the feeding vessels, clear dynamic image and its characteristics were defined in all cases. The bleeding was significantly less during the operation in all cases than that of control group （400 vs 1000 ml, P〈 0.05） ） . There were no severe compli- cations during embolization and no recurrence after the operation. Two cases of recurrence occurred in control group. Conclusion DSA can be used to confirm the diagnosis prior to excision and to delineate the extent of the tumor. The preoperative embolization can significantly reduce the amount of bleeding during the opera- tion and improve the safety of operation.

关 键 词：介入治疗 鼻咽血管纤维瘤 

分 类 号：R737.9[医药卫生—肿瘤]