采用血管造影栓塞术进行勒福Ⅰ型截骨止血后的术后出血：2例报告
Postoperative hemorrhage after Le Fort I osteotomy hemostasis with angiographic embolization: report of two cases.
作者信息
Yun Yasutaka, Kurasawa Shiro, Morita Mizuki, Kawachi Risaki, Murata Hideyuki, Sawada Shunsuke, Kojima Yuka, Yagi Masao, Asako Mikiya, Iwai Hiroshi
机构信息
Department of Otorhinolaryngology, Head & Neck Surgery, Kansai Medical University, Hirakata, Osaka, Japan.
Department of Oral and Maxillofacial Surgery, Kansai Medical University, Hirakata, Osaka, Japan.
出版信息
J Surg Case Rep. 2023 Dec 14;2023(12):rjad663. doi: 10.1093/jscr/rjad663. eCollection 2023 Dec.
This study reported two cases of acute life-threatening hemorrhage after Le Fort I osteotomy. In both cases, computed tomography and angiography revealed damage to the descending palatine artery, which was successfully treated by angiographic embolization. Although massive hemorrhage after Le Fort I osteotomy is rare, acute hemorrhage from the postoperative area may occur. Angiographic embolization is useful in cases of such hemorrhage from the posterior nasal cavity where endoscopic hemostasis is not possible.
本研究报告了2例Le Fort I型截骨术后出现危及生命的急性出血病例。在这两例病例中，计算机断层扫描和血管造影显示腭降动脉受损，通过血管造影栓塞成功治疗。虽然Le Fort I型截骨术后大出血很少见，但术后区域可能会发生急性出血。对于内镜止血无法进行的后鼻腔此类出血病例，血管造影栓塞是有用的。
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