摘要
目的 探讨鼻咽纤维血管瘸术前DSA血管栓塞经验。方法 4例鼻咽纤维血管瘸患者，1例术前采用NBCA、另3例用PVA在数字减影血管造影（DSA）下行瘸体永久栓塞，3d后在鼻内窥镜下手术切除。结果 全部病例均1次栓塞成功。在内镜下手术切除肿瘤耗时10—30min，术中出血量150～300ml，明显低于明胶海绵栓塞病例。术后CT检查提示肿瘤切除彻底。结论 鼻咽纤维血管瘸术前永久栓塞可明显减少术中出血量，优于国内普遍采用的明胶海绵暂时性栓塞。
Objective To evaluate the experience of intrartery Embolization under DSA before the surgery for nasophayngeal angiofibroma. Methods There were four patients of nasophayngeal angiofibroma which were embolized permanently preoperatively. One of them was embolized with gelatin sponge under DSA and 3 days after NBCA（N-butyl-2-cyanoacrylate）were injected directly into the tumor in the operation, the other 3 patients embolized with PVA（ pelyvinyl alcohol）.The surgery was performed with the nasal endoscope after three days. Results All cases were one-stage emboLized successfully. It took ten to thirty minutes to excise the tumor by the nasal endoscope.The blood loss was 150 - 300ml,which was less than the cases who were embolized onl with gelatin spenge. CT was done after surgery and it indicated the tumor had been excised completely. Conclusion The preoperative permanent embolization was better than the temporary embolization with gelatin sponge because it can reduce the blood loss obviously.
出处
《四川医学》
CAS
2006年第11期1108-1109,共2页
Sichuan Medical Journal
基金
四川省自然科学基金(05JY029-011)
