超选择舌动脉栓塞在晚期舌癌大出血中的应用  

Application of superselective lingual artery embolization in treatment of severe hemorrhange in patients with carcinoma of tongue

作　　者：李志萍[1] 孟箭[1] 吴海江[1] 张杰[1] 顾倩平[1] Li Zhiping;Meng Jian;Wu Haijiang;Zhang Jie;Gu Qianping(Department of Oral and Maxillofacial Surgery, Xuzhou Central Hospital, Xuzhou Jiangsu 221009, China)

机构地区：[1]徐州市中心医院口腔颌面外科,江苏221009

出　　处：《中华口腔医学杂志》2018年第6期425-427,共3页Chinese Journal of Stomatology

基　　金：江苏省卫生计生委科研课题（H2017080）;徐州市科技计划（KC16SL103）

摘　　要：探讨超选择舌动脉栓塞在晚期舌癌大出血中的应用价值。收集2014年3月至2016年2月因晚期舌癌大出血患者4例，术前临床分期分别为T3N2M0（2例）及T4N1M0（2例），其中2例舌癌晚期瘤体剧烈出血，2例为放疗后局部大出血，3例为舌鳞状细胞癌，1例为腺癌。给予颈内外动脉数字减影造影，行超选择栓塞治疗，随访期内未再发生大出血及偏瘫等中枢神经损害的严重并发症。数字减影血管造影下超选择舌动脉栓塞治疗晚期舌癌大出血可精确定位责任血管，且损伤小、疗效显著，并发症少。To explore the clinical value of superselective lingual artery embolization in treating the severe hemorrhage in patients with advanced carcinoma of tongue. Four patients with advanced tongue cancer hemorrhage from March 2014 to February 2016 were enrolled in this study. T3N2M0 （2 cases） and T4N1MO （2 cases） were diagnosed preoperatively. Two cases of advanced tongue carcinoma tumors had severe bleeding and the other 2 cases of hemorrhage were after radiotherapy. All cases including 3 squamous cell carcinoma and 1 adenocarcinoma were firstly demonstrated by arterigraphy under seldinger technique with digtial subtraction angiogarphy to ensure the rupture site and then all cases were followed by superselective artery embolization. The efficacy and complications of interventional embolizationg were observed. There was no serious complication of central nervous system injury such as hemorrhage and hemiplegia during follow-up. Superselective lingual artery embolization can accurately locate the responsibility of blood vessels, and the injury is small, significant effect, fewer complications.

关 键 词：舌肿瘤 血管造影术 数字减影 超选择 舌动脉栓塞 

分 类 号：R739.86[医药卫生—肿瘤]