[经皮治疗性栓塞术治疗难治性非创伤性鼻出血]
[Percutaneous therapeutic embolization in therapy refractory, non-traumatic epistaxis].
作者信息
Kramann B, Roth R, Schneider G, Uder M, Federspil P, Iro H
机构信息
Abteilung für Radiodiagnostik der Radiologischen Klinik, Universitätskliniken des Saarlandes, Homburg/Saar.
出版信息
HNO. 1998 Dec;46(12):973-9. doi: 10.1007/s001060050344.
UNLABELLED
The records of 24 patients with severe intractable non-traumatic epistaxis were reviewed to evaluate the efficacy of embolism therapy.
MATERIAL AND METHOD
The histories of 17 patients with idiopathic epistaxis, 6 patients with Osler-Rendu-Weber disease and 1 patient with a high-flow angioma were analyzed. All patients were treated by means of percutaneous embolization of the maxillary artery and its branches.
RESULTS
In 5/17 patients with idiopathic epistaxis repeat embolization was necessary in 5 cases, while permanent hemostasis was achieved in 16/17 patients with embolism alone. Five of the 6 patients with Osler-Rendu-Weber disease labelled stage III before treatment were managed successfully with repeated embolizations, while all cases were reduced to stage I disease. The high-flow angioma was successfully ablated after embolization combined with direct injection of thrombosing material and laser resection.
未标注
回顾24例严重顽固性非创伤性鼻出血患者的记录，以评估栓塞治疗的疗效。
材料与方法
分析17例特发性鼻出血患者、6例遗传性出血性毛细血管扩张症患者和1例高流量血管瘤患者的病史。所有患者均采用经皮上颌动脉及其分支栓塞治疗。
结果
17例特发性鼻出血患者中，5例需重复栓塞，16例仅通过栓塞实现了永久性止血。6例遗传性出血性毛细血管扩张症患者中，5例治疗前标记为III期，经反复栓塞成功治疗，所有病例均降至I期。高流量血管瘤在栓塞联合直接注射血栓形成物质及激光切除后成功切除。
Zotero 插件