摘要
目的:探讨数字减影血管造影栓塞术治疗顽固性鼻出血的疗效。方法:对55例2次以上后鼻孔填塞失败的顽固性鼻出血患者行超选择性颌内动脉、面动脉栓塞。结果:栓塞单侧颌内动脉55例次,双侧5例次;重复栓塞4例,全部栓塞成功,无1例严重并发症,随访6个月-3年,无1例复发。结论:数字减影血管造影栓塞术是一种安全有效的止血方法,尤其对老年患者或伴有其他疾病的顽固性鼻出血患者,在保守治疗失败的情况下,该术式是上佳的选择。
Objective: To study the effect of digital subtraction angiographic embolization in the treatment of uncontrollable expistaxis. Methods:55 cases of patients with uncontrollable posterior epistaxis were performed superselective embolization under digital subtraction angiography. Results-They were cured without any severe complication. After 0. 5 - 3 years follow up, none of them had recurrence. Conclusion: Digital subtraction angiographie embolization is a safe and effective method to manage uncontrollable epistaxis. It is better in the elder patients accompanied with other disease so long as its surgical indication is correctly selected.
出处
《河北医学》
CAS
2008年第10期1191-1193,共3页
Hebei Medicine
关键词
数字减影血管造影
血管造影栓塞术
鼻出血
Digital subtraction angiography
Angiographic embolization
Epistaxis