经皮穿刺数字减影血管造影引导下无水乙醇介入栓塞治疗口腔颌面部动静脉畸形

Percutaneous puncture embolization with absolute ethanol under digital subtraction angiography for arteriovenous malformations in oral and maxillofacial region

目的 探讨应用无水乙醇在数字减影血管造影（DSA）引导下经皮穿刺栓塞治疗口腔颌面部动静脉畸形的可行性和安全性。方法 对2012年3月至2016年1月在徐州市中心医院口腔科进行DSA引导下经皮穿刺无水乙醇介入栓塞治疗的9例口腔颌面部动静脉畸形患者进行跟踪随访,评价其临床症状和影像学的改善情况。结果 9例口腔颌面部动静脉畸形患者中5例完全消退,2例消退率≥50%,2例消退率25%~50%。均未发生脑栓塞、肺栓塞、心脏衰竭等严重并发症,面型及功能保存良好。结论 DSA引导下经皮穿刺无水乙醇介入栓塞治疗口腔颌面部动静脉畸形安全有效。

Objective To evaluate the security and efficacy of direct percutaneous puncture embolization under digital subtraction angiography（DSA）for arteriovenous malformations（AVMs）in oral and maxillofacial region using absolute ethanol. Methods Nine patients with arteriovenous malformations, collected from Xuzhou central hospital, who underwent staged percutaneous ethanol embolotherapy between Mar. 2012 and Jan. 2016 were reviewed. Therapeutic outcomes were evaluated by both clinical responses and image finding. Results Lesions completely regressed in five cases. Recession rates were greater than 50% in two cases,and 25% ~ 50% in the other two cases. Severe complications,such as cerebral embolism,pulmonary embolism and cardiac failure,had not arisen. Conclusion Percutaneous ethanol embolotherapy under DSA seemed to be a safe and effective treatment for AVMs in oral and maxillofacial region.