经导管超选择栓塞术在耳鼻喉疾病中的临床价值研究

Clinical value of superselective transcatheter embolization in treatment of ENT disease

目的探讨耳鼻喉疾病中经导管超选择栓塞术治疗临床效果。方法耳鼻喉科疾病患者20例,采用经导管超选择栓塞术治疗,回顾性分析其临床资料。结果鼻咽纤维血管瘤手术前对肿瘤供血动脉进行栓塞的6例患者均成功完成手术,术中出血量减少,术野清晰,易辨认、切除实体瘤;单纯严重鼻出血5例,扁桃腺手术术后出血1例,鼻咽癌致顽固出血3例,上颌窦癌致顽固出血3例,均有效控制出血。无严重并发症发生,仅术后发热1例,头痛2例,后对症处理后缓解。结论耳鼻喉出血采用经导管超选择栓塞术诊治,有较高有效性和安全性,鼻咽纤维血管瘤等手术术前应用此栓塞术式,可提高手术成功率,防范并发症的发生。

Objective To discussthe of superselective transcatheter embolization ENT diseases on clinical results. Methods Selected 20 cases of ENT diseases, both in our hospital from February 2012 to February 2014 were treated using tran- scatheter embolization super selection,review of clinical data. Results Former JNA surgery on the tumor feeding artery embolization in six cases were successfully completed surgery to reduce blood loss, operative field clear,legible, removal of solid tumors; mere five cases of serious bleeding nose,tonsils surgical procedures bleeding after one case, three cases of na- sopharyngeal bleeding caused by stubborn, stubborn sinus cancer caused by bleeding three cases are effectively control bleeding. No serious complications occurred, only one case of postoperative fever, headache two cases, symptomatic treatment after remission. Conclusion ENT bleeding using superseleetive transcatheter embolization treatment,have higher efficacy and safety, before application of surgical procedures such as nasopharyngeal angiofibroma embolization of this type, can improve the success rate of surgery and prevent complications.