甲状腺动脉栓塞术的并发症及其防治  

Prevention and treatment of complications for thyroid-arterial embolization

作　　者：杨继金[1] 袁敏[1] 田建明[1] 陈炜[1] 杨朝爱[1] 郝强[1] 邹大进[2] 王永春[1] 

机构地区：[1]第二军医大学长海医院放射科,上海200433 [2]第二军医大学长海医院内分泌科,上海200433

出　　处：《介入放射学杂志》2003年第2期105-107,共3页Journal of Interventional Radiology

摘　　要：目的　研究甲状腺动脉栓塞术的并发症及其防治方法。方法　回顾性分析 6 1例甲状腺动脉栓塞术患者术中、术后发生的并发症及处理方法。结果　术中发生对比剂反应 1例、动脉损伤 2例 ,术后发生甲状腺危象 1例 ,其余均为非靶动脉栓塞所致 ,包括头痛 (2 3例 )、牙痛 (11例 )、颈痛 (13例 )、声音嘶哑 (37例 )。最严重者为脑梗死 1例和眼睑下垂、眼裂变小 1例。脑梗死者行抗凝、扩血管治疗后好转 ,眼睑下垂者未作特殊处理 ,其余病例均对症处理后完全缓解。结论　甲状腺动脉栓塞术有一定的危险 ,操作要仔细 ,出现并发症时处理要及时。Objective To investigate the complications of thyroid arterial embolization and their prevention and treatment.Methods 61 cases of thyroid disorders received the therapy of thyroid arterial embolization were retrospectively studied. The complications of arterial embolization during or after the procedure were analyzed. How to prevent and deal with these complications were discussed. Results Sensitivity to contrast media occurred in 1 case and surgical arterial injury in 2. After embolization thyroid storm occurred in 1 patient and all other complications including headache(23 cases), toothache(11 cases), neckache(13 cases), hoarseness(37 cases) were caused by non target arterial embolization with the most serious one of cerebral infarction(1 case) and another eyelid ptosis (1 case). The cerebral infarct one was treated with some vasodilating drugs and anti coagulant, all others were given anti symptomatics or no special treatment.Conclusions Proper treatment should be ready during thyroid arterial embolization and given in time with occurance of complications.

关 键 词：甲状腺动脉栓塞术 并发症 介入治疗 甲状腺功能亢进 明胶海绵颗粒 聚乙烯醇 

分 类 号：R581.1[医药卫生—内分泌] R815[医药卫生—内科学]