[1]徐国斌,周石,刘骏方,等.辅助性介入栓塞术在青少年鼻咽纤维血管瘤治疗中的应用[J].介入放射学杂志,2007,(02):88.
 XU Guo-bin,ZHOU Shi,LIU Jun-fang,et al.Clinical value of the assistant interventional embolization in treatment of juvenile nasopharyngeal angiofibroma[J].journal interventional radiology,2007,(02):88.
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辅助性介入栓塞术在青少年鼻咽纤维血管瘤治疗中的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2007年02期
页码:
88
栏目:
肿瘤介入
出版日期:
2007-02-15

文章信息/Info

Title:
Clinical value of the assistant interventional embolization in treatment of juvenile nasopharyngeal angiofibroma
作者:
徐国斌周石刘骏方胡金香龙清云
430071武汉大学中南医院放射介入科(徐国斌、刘骏方、胡金香、龙清云);贵阳医学院附属医院介入中心(周石)
Author(s):
XU Guo-binZHOU ShiLIU Jun-fangHU Jin-xiangLONG Qing-yun
Department of Interventional Radiology.Zhongnan Hospital of Wuhan University,Wuhan430071,China
关键词:
青少年鼻咽纤维血管瘤栓塞治疗
分类号:
R739.63
文献标志码:
A
摘要:
目的探讨辅助性供血动脉栓塞术在鼻咽纤维血管瘤综合治疗中的应用价值。方法回顾性分析2000年2月至2005年6月以来经手术及病理证实的鼻咽纤维血管瘤患者17例,其中13例于外科手术前1~4d行DSA检查及选择性颈外动脉供血支栓塞,4例因鼻腔大出血常规止血无效行急症栓塞治疗后根据病情择期手术,观察造影表现、止血效果及外科手术情况。结果血管造影可清晰显示肿瘤病变范围及供血情况,16例表现为颈外动脉分支颌内动脉为主供血,1例为颈内动脉和颈外动脉双重供血,供血动脉多少与肿瘤分期有关。鼻腔大出血者表现为末梢血管增多紊乱及点片状对比剂外溢,栓塞治疗后出血停止。栓塞术无明显并发症,外科手术中出血量280~1600ml,平均(460±255.5)ml,肿瘤完整切除。结论鼻咽纤维血管瘤行DSA检查及选择性供血动脉栓塞能进一步明确肿瘤特征,有效治疗急性鼻腔大出血,减少外科术中出血并提高肿瘤切除率。

参考文献/References:

[1]Fisch U.The infratemporal fossa approach for nasopharyngeal tumors[J].Laryngoscope,1983,93:36-44.
[2]Diana R,Trevor M,Gerald BH,et al.Angiofibroma:changes in staging and treatment[J].Arch Otolaryngol,Head Neck Surg,1996,122:122-129.
[3]贺祥,卢伟.急性顽固性鼻出血的动脉栓塞治疗[J].介入放射学杂志,2004,13:515-516.
[4]周石,杨华,王学建,主编.脑血管介入诊疗图解[M].贵阳:贵州科技出版社,2003,225.
[5]乔明哲,徐洁洁,乔宗海,等.鼻咽纤维血管瘤减少术中出血方法的比较(附56例报告)[J].山东大学基础医学院学报,2003,17:338-339.
[6]Daniilidis I,Markou K,Nikolaou A,et al.Treatment of postoperative“uncontrollable”nosebleed embolization of the maxillary artery[J].Laryngorhinoocologie,1996,75:529-532.
[7]Topi MJ,Jukka P,Tapai A,et al.Value of pre-operation embolization in surgery for nasopharyngeal angiofibroma[J].J Larynol Otol,1993,107:514-521.
[8]董敏俊,范新东,石润杰.鼻咽血管纤维瘤术前双重介入栓塞的临床价值[J].介入放射学杂志,2006,15:342-344.
[9]刘玉娥,颜志平,张婧娴,等.鼻咽纤维血管瘤术前供血动脉栓塞的临床应用[J].介入放射学杂志,2006,15:345-347.

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备注/Memo

备注/Memo:
收稿日期:2006-03-27
更新日期/Last Update: 2007-02-15