颈部及面部病变的血管内介入治疗

Endovascular therapy for the diseases of neck and face

目的探讨颈面部病变的血管内介入治疗价值。方法回顾性分析152例颈面部病变患者的血管内介入治疗资料。结果82例颈、椎动脉狭窄闭塞性病变者,81例一次性成功地置入了血管内支架,1例患者因严重狭窄与扭曲,导丝无法通过而改行外科手术治疗。对42例颈、面部肿瘤性病变成功地进行了靶血管双重栓塞治疗,对16例颈面部蔓状血管瘤成功地进行了靶血管分次完全填充栓塞治疗,7例颈面部假性动脉瘤和5例颈髓血管畸形者均获得了成功的常规介入治疗。结论超选择插管后行血管内介入治疗是颈面部病变安全有效的治疗手段。

OBJECTIVE To explore the value of interventional intravascular treatment for the diseases of neck and face. METHODS The clinical data of 152 cases with diseases of neck and face （109 men, 43 woman; aged 8 to 78years; average age 44.5±13 years） underwent interventional intravascular treatment were analyzed retrospectively. RESULTS In 82 patients of the carotid and vertebral artery stenosis, the stent placement was managed in the 81 cases successfully. In one patient, the lesion could not be crossed with a guidewire because of a severely stenosis and tortuous lesion. By superselective catheterization, the double embolzation were performed successfully in 42 cases with neoplasm of neck and face, the separately complete filling embolization in 16 cases of racemosum hemangioma, and traditional endovascular therapy in 7 cases of pseudoaneurysm and 5 cases of cervical arteriovenous malformation. CONCLUSION Endovascular therapy is an effective, safe therapeutic method for the diseases of neck and face when superselective catheterization are perfectly done.