经导管动脉栓塞术在口腔深部肿瘤切除术前的应用

The Application of Transcatheter Arterial Embolization in Oral Cavity Depth Tumor Before Operation

目的:探讨经导管动脉栓塞术在口腔深部肿瘤切除术前的临床应用价值。方法:18例口腔深部肿瘤,均行导管动脉栓塞,采用明胶海绵颗粒栓塞供血动脉。全部患者于栓塞术后3～7d手术切除肿瘤。结果:18例均见明显的肿瘤染色,供血动脉丰富。颌内动脉栓塞18例,同时栓塞咽升动脉8例,面动脉栓塞5例。所有病例均取得良好效果。结论:本组资料表明经导管动脉栓塞术在口腔深部肿瘤切除术前的临床应用是安全有效的。

Objective: To assess the value of transcatheter arterial embolization(TAE) in oral cavity depth tumor before operation. Methods:TAE was performed in 18 patients with oral cavity depth tumor. Embolization was performed with gelfoam. All patients underwent surgery in 3 to 7 days after TAE. Results:During angiography, tumor staining was seen in 23 patients. Embolization of maxillary artery was performed in 18 cases and additional embolization of ascending pharyngeal artery in 8 and facial artery in 5 Good results were achieved. Conclusion:TAE is safe and effective in decreasing haemorrhage during surgical operation for oral cavity depth tumor.