术前栓塞鼻咽纤维血管瘤的疗效分析

Abstract

目的：探讨术前栓塞鼻咽部纤维血管瘤供血动脉的临床疗效。方法：采用Seldinger技术，超选择插管对肿瘤颈外供血动脉进行栓塞后1~3 d内手术切除。结果：12例患者，患侧颌内动脉供血9例，合并咽升动脉供血1例。双侧颌内动脉分支供血2例，患侧颌内动脉及颈内动脉分支供血1例；均未发生严重并发症；栓塞后11例完整手术切除，1例部分切除拟分期手术。术中平均出血约380 ml。结论：术前血管栓塞鼻咽部血管瘤可有效减少术中出血，并增加肿瘤切除率。 Objective: To investigate the clinical efficacy of pre-surgical embolization of nasopharyngeal angiofibroma. Methods: Using Seldinger technique, 12 cases with nasopharyngeal angiofibroma underwent superselective feeding arteries emboilization, and then 1 - 3 days later, the angiofibroma was cut. The intraoperative blood loss was recorded. Results: For the 12 cases, 9 cases of nasopharyngeal angiofibroma were supplied by single-side internal maxillary artery, and 1 case combined with ascending pharyngeal artery, the bilateral internal axillary artery was in 2 patients, and the same lateral axillary artery and the branches of the internal carotid artery was in 1 patient. No serious complication happened after embolization. After thrombosis, in 11 cases underwent complete surgical resection, 1 case was of resection to staging surgery. All lesions were radical removed. The average intraoperative blood loss was 380 ml. Conclusion: The pre-surgical embolization of nasopharyngeal angiofibroma can reduce the intraoperative blood loss and increase radical resected rate.