超选择性血管栓塞后鼻内镜下微创手术治疗鼻咽纤维血管瘤I期的临床疗效  

Clinical efficacy of nasal endoscopic minimally invasive surgery for the treatment of stage Ⅰ nasopharyngeal angiofibroma after superselective artery embolization

作　　者：许雯[1] 汤玮[1] 余少卿[1] 李少辉[1] 葛荣明[1] XU Wen;TANG Wei;YU Shaoqing;LI Shaohui;GE Rongming(Department of Otolaryngology Head and Neck Surgery,Tongji Hospital Affiliated to Tongji University,Shanghai,200065,China)

机构地区：[1]同济大学附属同济医院耳鼻咽喉头颈外科,上海200065

出　　处：《中国耳鼻咽喉头颈外科》2022年第5期313-316,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的 探讨超选择性血管栓塞后鼻内镜下微创手术治疗鼻咽纤维血管瘤(nasopharyngeal angiofibroma,NA)I期的临床疗效。方法 48例NA患者分为栓塞组24例,非栓塞组24例,栓塞组24例均采用数字减影血管造影,再栓塞肿瘤供血动脉后行鼻内镜下微创手术切除肿瘤。结果栓塞组术中出血量、手术时间比非栓塞组明显减少,两组差异有显著统计学意义(P<0.05)。结论 NA术前超选择性血管栓塞可避免术中大失血,保证肿瘤完整切除,是一种安全、有效的方法。OBJECTIVE To assess the clinical effects of minimally invasive surgery under nasal endoscope after superselective artery embolization for nasopharyngeal angiofibroma(NA) Stage I.METHODS Forty-eight patients with NA were divided into embolization group(24 cases) and non-embolization group(24 cases).In the embolization group,digital subtraction angiography(DSA) was used.Then,we block tumor blood supply artery and perform minimally invasive surgery under nasal endoscope to remove tumor.Nasal endoscopic resection was performed directly.RESULTSThe amount of intraoperative bleeding and operation time in the embolization group were significantly less than that in the non-embolization group.There was very statistically significant difference between the two groups(P﹤0.05).CONCLUSIONSuperselective artery embolization before NA surgery may help avoid hemorrhage and guarantee the complete removal of tumor.It is a safe and effective method.

关 键 词：血管纤维瘤 鼻咽 血管造影术 数字减影 栓塞 治疗性 内窥镜检查 微创外科 

分 类 号：R739.63[医药卫生—肿瘤]