经导管栓塞治疗顽固性鼻出血
鼻出血；栓塞；介入治疗,,],鼻出血；栓塞；介入治疗,1资料与方法,2结果,3讨论,参考文献
[摘 要] 目的 评价经导管栓塞治疗顽固性鼻出血的疗效并讨论治疗技术。方法 对41例顽固性鼻出血，单侧26例，双侧15例进行血管造影及明胶海绵栓塞治疗。结果 41例56次颈外动脉造影，单侧26例，双侧15例。显示出血：右侧17例，左侧9例，双侧7例，未见出血动脉8例。血管造影表现：32例颌内动脉、面动脉主干增粗、迂曲，出血灶明确。1例颌内动脉瘤。8例双侧颌内动脉、面动脉末稍支迂曲增粗，网状，无明显出血灶。41例经明胶海绵栓塞，单侧26例次，双侧15例30次，栓塞效果良好。随访3~67个月未见复发。结论 经导管栓塞治疗顽固性鼻出血是一种行之有效的方法。[关键词] 鼻出血；栓塞；介入治疗
Transcatheter embolization for stubborn epistaxis
SHEN Guoxin, WU Genhua, TANG Jie, et al. Department of Radiology, the 98th Hospital of PLA, Huzhou 313000, Zhejiang, China
[Abstract] Objective To evaluate the effect of transcatheter embolic treatment in stubborn epistaxis and the therapeutic technology. Methods Selective angiography and embolization of epistaxis were performed with absorbable gelatin sponge in 41 cases, which included 26 cases in unilateral, 15 cases in bilateral. Results 56 procedure of external carotid artery angiography were performed in 41 cases. The results showed: 17 cases in right lateral, 9 cases in left lateral and 7 cases in both were bleeding. 8 cases had no bleeding artery. The angiography showed that the main branch of internal maxillaries artery and facial artery in 32 cases became larger, crooked and had blood dots. 1 case was internal maxillaries aneurysm and 8 cases in bilateral the distal branch of internal maxillaries artery and facial artery became larger, crooked and netlike, but no obvious blood dots. 41 cases embolized with absorbable gelatin sponge had satisfactory effect, which performed 26 procedure in 26 unilateral cases and performed 30 procedure in 15 bilateral cases. After 3~67 months followup, no haemorrhage recurred.Conclusions Transcatheter embolization for the treatment of stubborn epistaxis was safe and effective. ......
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