血管内介入治疗难治性鼻出血。
Endovascular intervention in treatment of refractory epistaxis.
作者信息
Sorour Ahmed Tarek Ali Ibrahim, Schwager Konrad, Hofmann Erich
机构信息
Oralchirurgische Praxisklinik Illertissen, Illertissen, Germany.
Department of Ear, Nose and Throat Diseases, Head, Neck, and Plastic Facial Surgery and Communication Disorders (Hearing, Voice and Speech Disorders), Marburg University, Marburg, Germany.
出版信息
SAGE Open Med. 2023 May 2;11:20503121231170478. doi: 10.1177/20503121231170478. eCollection 2023.
OBJECTIVE
Angiographic embolization is an established method of treating intractable cases of posterior epistaxis. This study aimed to test the effectiveness and safety of this method in treating cases refractory to conservative methods.
METHODS
A descriptive retrospective analysis of consecutive cases referred to the department of interventional radiology with refractory epistaxis from January 2001 to December 2018 and received a selective angiographic embolization of the sphenopalatine artery was done. Only epistaxis of idiopathic origin was included in the study.
RESULTS
During this period, 98 embolizations were performed. The success rate reached 81.6%. Minor complications were registered in 5%, with no single major complication. The length of stay was 10.5 ± 5.6.
CONCLUSION
Selective angiographic embolization is an effective, safe, and minimally invasive method in treating refractory epistaxis.
目的
血管造影栓塞术是治疗难治性后鼻孔出血的一种既定方法。本研究旨在测试该方法治疗保守治疗无效病例的有效性和安全性。
方法
对2001年1月至2018年12月转诊至介入放射科的难治性鼻出血并接受蝶腭动脉选择性血管造影栓塞术的连续病例进行描述性回顾性分析。本研究仅纳入特发性鼻出血病例。
结果
在此期间，共进行了98次栓塞术。成功率达到81.6%。5%的患者出现轻微并发症，无严重并发症。住院时间为10.5±5.6天。
结论
选择性血管造影栓塞术是治疗难治性鼻出血的一种有效、安全且微创的方法。
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