上颌动脉假性动脉瘤破裂出血经导管栓塞治疗1例  

Transcatheter arterial embolization in the treatment of maxillary artery pseudoaneurysm hemorrhage:a case report

作　　者：单菊萍[1] 徐新建[1] 吴娟[1] 季文斌[1] 

机构地区：[1]温州医科大学附属台州医院血管介入中心,浙江台州317000

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第14期1130-1132,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1病例报告 患者,女,34岁,因＂左侧鼻塞不适2年伴鼻出血11d＂于当地医院行鼻窦增强CT提示：左上颌窦-左鼻腔新生物,全身麻醉下行＂鼻内镜下左鼻腔新生物摘除加下鼻道开窗加前后筛窦开放术＂,术后病理报告提示左鼻上颌窦非肠型高分化腺癌。1周后于我院行＂鼻内镜径路上颌窦癌根治术加左侧鼻窦开放术＂,病变切除后反复电凝及烧灼术腔创面,术中失血量约100ml,并予止血纱布及高膨胀止血材料填塞左鼻腔,术后病情稳定,1周后出院。Internal maxillary arterial pseudoaneurysm is a potential complication of maxillofacial surgery.A34-year old woman with maxillary sinus cancer undergoing multiple endoscopic sinus surgery,and subsequently developed acute massive nasal hemorrhage.She was eventually successfully treated with intravascular embolization.The recurrence of nasal hemorrhage was not observed during a seven-month follow up.

关 键 词：假性动脉瘤 上颌动脉 鼻出血 血管内栓塞治疗 

分 类 号：R765.23[医药卫生—耳鼻咽喉科]