血管内栓塞治疗难治性鼻腔大出血

The endovascular embolic treatment of intractable epistaxis

目的研究严重鼻腔出血的超选择造影诊断和栓塞治疗。方法经股动脉置入导管行超选择造影诊断，采用聚乙烯颗粒栓塞出血动脉。结果所有病例均有良好止血效果，术后随访４个月至１年无复发。结论本组资料表明超选择造影诊断、栓塞治疗及栓塞颗粒大小适当是栓塞成功的主要条件，应用该法病人痛苦小，治愈时间短。

Objective To study superselective angiographic diagnosis and embolization of intractable epistaxis in 31 cases Methods Superselective angiographic diagnosis and embolization of epistaxis were performed with polyvinyl alcohol particles using transfemoral approach Results Satisfactory results were achieve No recurrence of nose bleeding in 412 month follow up Conclusions Superselective angiographic diagnosis, embolization and appropriate embolic particlesize are important for successful treatment of massive epistaxis