颌面部介入治疗并发症分析

Complications of interventional therapy in maxillofacial region

目的 :分析颌面部介入放射治疗并发症的原因 ,探讨对其预后及处理方法。方法 :采用Seldinger技术对 73例颌面部肿瘤及外伤患者进行了 96次颌面动脉插管造影、药物灌注和回顾性分析 (或 )栓塞治疗。结果 :6例发生了具有临床意义的并发症 (占 6 .2 5 % ) ,其中神经损伤 2例 ,造影剂过敏反应 2例 ,皮肤坏死及局部疼痛各 1例。除 1例脑损伤死亡外均痊愈。结论 :颌面部介入治疗最重要的并发症为神经损害 ,重者可致残致亡。采取适当措施可预防和减少反应。

砄bjective: To study the complications of interventional therapy in maxillofacial region. Methods : Retrospective analysis was conducted in 73 cases(96 times) treated with interventional therapy in maxillofacial region. Intraarterial angiography, drug infusion and embolization were conducted in 71 cases of maxillofacial tumor and 2 cases of injury by Seldinger method. Results: Complications with clinical significance occurred were observed in 6 cases (6.2%): allergic reaction to angiographic agent in 2 cases, necrosis of skin in 1, local pain in 1, facial paralysis in 1 and death because of brain damage in 1. 5 cases were cured. Conclusion: The most serious complication in maxillofacial interventional therapy is nerve injury, which may result in death . Certain measures should taken to prevent or reduce the reaction.