经动脉栓塞术在鼻咽及颌面部大出血中的临床应用
Clinical application of transarterial embolization for massive hemorrhage in the nasopharyngeal and maxillofacial regions.
作者信息
Shang Jian-biao, Li Yan-hao, Chen Yong, He Xiao-geng, Zeng Qing-le, Wang Jiang-yu
机构信息
Department of Interventional Radiology, Nangfang Hospital, First Military Medical University, Guangzhou 510515, China.
出版信息
Di Yi Jun Yi Da Xue Xue Bao. 2004 Feb;24(2):210-2.
OBJECTIVE
To study the effect and safety of transarterial embolization (TAE) in the management of massive hemorrhage in the nasopharyngeal and maxillofacial regions.
METHODS
Forty-two cases of massive hemorrhage in the nasopharyngeal and maxillofacial regions were treated by TAE. Gelfoam particles, polyvinyl acohol particles, and metallic coil were used to for embolism of the external carotid artery, maxillary artery, facial artery, occipital artery, sphenopalatine artery and ascending pharyngeal artery respectively according to the angiographic findings and the region of hemorrhage sites.
RESULTS
TAE was successfully performed in all the cases, and no recurrence or serious complications were observed in the 3 to 12-month follow-up.
CONCLUSION
TAE is safe and effective in the treatment of massive hemorrhage in the nasopharyngeal and maxillofacial regions.
目的
研究经动脉栓塞术（TAE）治疗鼻咽及颌面部大出血的疗效及安全性。
方法
对42例鼻咽及颌面部大出血患者采用TAE治疗。根据血管造影结果及出血部位，分别使用明胶海绵颗粒、聚乙烯醇颗粒和金属线圈栓塞颈外动脉、上颌动脉、面动脉、枕动脉、蝶腭动脉和咽升动脉。
结果
所有病例TAE均成功实施，3至12个月随访未观察到复发或严重并发症。
结论
TAE治疗鼻咽及颌面部大出血安全有效。
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