Li Z P, Meng J, Wu H J, Zhang J, Gu Q P
Department of Oral and Maxillofacial Surgery, Xuzhou Central Hospital, Xuzhou Jiangsu 221009, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2018 Jun 9;53(6):425-427. doi: 10.3760/cma.j.issn.1002-0098.2018.06.012.
To explore the clinical value of superselective lingual artery embolization in treating the severe hemorrhage in patients with advanced carcinoma of tongue. Four patients with advanced tongue cancer hemorrhage from March 2014 to February 2016 were enrolled in this study. T3N2M0 (2 cases) and T4N1M0 (2 cases) were diagnosed preoperatively. Two cases of advanced tongue carcinoma tumors had severe bleeding and the other 2 cases of hemorrhage were after radiotherapy. All cases including 3 squamous cell carcinoma and 1 adenocarcinoma were firstly demonstrated by arterigraphy under seldinger technique with digtial subtraction angiogarphy to ensure the rupture site and then all cases were followed by superselective artery embolization. The efficacy and complications of interventional embolizationg were observed. There was no serious complication of central nervous system injury such as hemorrhage and hemiplegia during follow-up. Superselective lingual artery embolization can accurately locate the responsibility of blood vessels, and the injury is small, significant effect, fewer complications.
探讨超选择性舌动脉栓塞术治疗晚期舌癌患者严重出血的临床价值。选取2014年3月至2016年2月因晚期舌癌出血的4例患者纳入本研究。术前诊断为T3N2M0(2例)和T4N1M0(2例)。2例晚期舌癌肿瘤有严重出血,另外2例出血发生在放疗后。所有病例包括3例鳞状细胞癌和1例腺癌,首先采用Seldinger技术经数字减影血管造影术进行动脉造影,以确定破裂部位,然后对所有病例进行超选择性动脉栓塞。观察介入栓塞的疗效及并发症。随访期间未出现脑出血、偏瘫等严重中枢神经系统损伤并发症。超选择性舌动脉栓塞术能准确定位责任血管,损伤小,效果显著,并发症少。