[与颈外动脉和颅内动脉异常交通相关的颌面血管畸形]
[Maxillofacial vascular malformation associated with abnormal communication between external carotid and cranial arteries].
作者信息
Qin Z, Cao J, Li K, Liu X, Hu X
机构信息
Special Department of Hemangiomon, Cancer Hospital of Linyi Shandong, Linyi City 276001, China.
出版信息
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2001 Apr;36(2):129-31.
OBJECTIVE
To introduce the clinical characteristics of maxillofacial vascular malformation with abnormal communication between external carotid and cranial arteries.
METHODS
One hundred and twenty patients with maxillofacial vascular malformations had been studied by arteriography of internal and external carotid, and vertebral arteries before embolization of tumor supplying artery. Cases found to have communications between extra- and intra-cranial arteries were analyzed.
RESULTS
Fourteen patients (11.67%, 14/120) were found to have abnormal communications between external carotid and cranial arteries. Among them, 11 patients demonstrated communications between occipital and vertebral arteries, 1 patient showed ascending pharyngeal artery and vertebral artery communication, and 2 patients showed maxillary artery-ophthalmic artery communication.
CONCLUSION
Embolization of tumor supplying artery is a safe and practical method for the treatment of maxillofacial vascular malformation when done under digital subtraction angiography and superselective catheterization to avoid the abnormal communicant branches.
目的
介绍伴有颈外动脉与颅内动脉异常交通的颌面部血管畸形的临床特征。
方法
对120例颌面部血管畸形患者在进行肿瘤供血动脉栓塞术前，通过颈内、外动脉及椎动脉造影进行研究。对发现有颅外与颅内动脉交通的病例进行分析。
结果
14例患者（11.67%，14/120）被发现颈外动脉与颅内动脉存在异常交通。其中，11例显示枕动脉与椎动脉交通，1例显示咽升动脉与椎动脉交通，2例显示上颌动脉与眼动脉交通。
结论
在数字减影血管造影和超选择性插管下进行肿瘤供血动脉栓塞，以避开异常交通支，是治疗颌面部血管畸形的一种安全实用的方法。
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