经皮直接穿刺联合血管内途径栓塞颌骨动静脉畸形
Embolization of the AVM of jaws by direct percutaneous puncture combined with endovascular route.
作者信息
Fan Xindong, Qiu Weiliu, Zhang Zhiyuan, Zhang Chenping, Hu Yongjie, Mao Qing
机构信息
Department of Radiology, School of Stomatology, Shanghai Second Medical University, Shanghai 200011, China.
出版信息
Zhonghua Kou Qiang Yi Xue Za Zhi. 2002 Sep;37(5):336-9.
OBJECTIVE
To report our experience to embolize the AVM of jaws by direct puncture in conjunction with endovascular treatment.
METHODS
5 cases of AVM of mandible and 2 cases of AVM of maxilla comprised this study group. The patients were embolized with coils with wool strands and PVA. The coils were placed directly into the center of the intraosseous lesion. The procedure was under the guidance of DSA machine (PHILIPS V3000).
RESULTS
The acute arterial bleeding of 4 patients was controllable. The chronic oozing bleeding in the other 3 cases disappeared in the 3 - 24 months follow-up and new bone formation was found in the follow-up radiography.
CONCLUSIONS
The embolization of the AVM of jaws by direct puncture in conjunction with endovascular therapy is effective and safe, however the longer follow-up is expected.
目的
报告我们通过直接穿刺联合血管内治疗栓塞颌骨动静脉畸形（AVM）的经验。
方法
本研究组包括5例下颌骨AVM和2例上颌骨AVM患者。采用弹簧圈加羊毛线及聚乙烯醇（PVA）对患者进行栓塞。将弹簧圈直接置于骨内病变中心。该操作在数字减影血管造影（DSA）机（飞利浦V3000）引导下进行。
结果
4例患者的急性动脉出血得到控制。另外3例患者的慢性渗血在3至24个月的随访中消失，随访影像学检查发现有新骨形成。
结论
直接穿刺联合血管内治疗栓塞颌骨AVM有效且安全，但仍需更长时间的随访。
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