术前栓塞鼻咽纤维血管瘤的疗效分析  

The Efficacy of Pre-Surgical Embolization of Nasopharyngeal Angiofibroma

作　　者：韦传军 叶丹 逄杰 李新民[2] 

机构地区：[1]解放军71217部队医院介入放射科,山东莱阳 [2]解放军456医院介入中心,山东济南

出　　处：《医学诊断》2015年第3期44-46,共3页Medical Diagnosis

摘　　要：目的:探讨术前栓塞鼻咽部纤维血管瘤供血动脉的临床疗效。方法:采用Seldinger技术,超选择插管对肿瘤颈外供血动脉进行栓塞后1~3 d内手术切除。结果:12例患者,患侧颌内动脉供血9例,合并咽升动脉供血1例。双侧颌内动脉分支供血2例,患侧颌内动脉及颈内动脉分支供血1例;均未发生严重并发症;栓塞后11例完整手术切除,1例部分切除拟分期手术。术中平均出血约380 ml。结论:术前血管栓塞鼻咽部血管瘤可有效减少术中出血,并增加肿瘤切除率。Objective: To investigate the clinical efficacy ofpre-surgical embolization of nasopharyngeal angiofibroma. Methods: UsingSeldinger technique, 12 cases with nasopharyngeal angiofibroma underwentsuperselective feeding arteries emboilization, and then 1 - 3 days later, the angiofibromawas cut. The intraoperative blood loss was recorded. Results: For the 12 cases,9 cases of nasopharyngeal angiofibroma were supplied by single-side internal maxillaryartery, and 1 case combined with ascending pharyngeal artery, the bilateralinternal axillary artery was in 2 patients, and the same lateral axillaryartery and the branches of the internal carotid artery was in 1 patient. Noserious complication happened after embolization. After thrombosis, in 11 casesunderwent complete surgical resection, 1 case was of resection to stagingsurgery. All lesions were radical removed. The average intraoperative blood losswas 380 ml. Conclusion: The pre-surgical embolization of nasopharyngealangiofibroma can reduce the intraoperative blood loss and increase radicalresected rate.

关 键 词：鼻咽部纤维血管瘤 血管成形术 栓塞 

分 类 号：R73[医药卫生—肿瘤]