经动脉栓塞治疗鼻咽颌面部大出血的临床应用

Clinical application of transarterial embolization for massive hemorrhage in the nasopharyngeal and maxillofacial regions

目的 回顾性分析经动脉栓塞治疗鼻咽颌面部大出血的疗效和安全性。方法 鼻咽颌面部大出血42例，均经股动脉插管入颈内动脉造影。根据造影情况和临床出血部位，应用明胶海绵颗粒、PVA颗粒和弹簧圈等栓塞材料，分别行颈外动脉、颌内动脉、面动脉、枕动脉、蝶腭动脉、咽升动脉栓塞。结果 42例患者均成功完成栓塞，一次栓塞止血成功率100％。随访3～12月，无复发，未出现严重并发症。结论 经动脉栓塞治疗鼻咽颌面部大出血是一种安全、有效的治疗方法。

Objective To study the effect and safety of transarterial embolization (TAE) in the management of massive hemorrhage in the nasopharyngeal and maxillofacial regions. Methods Forty-two cases of massive hemorrhage in the naso- pharyngeal and maxillofacial regions were treated by TAE. Gelfoam particles, polyvinyl acohol particles, and metallic coil were used to for embolism of the external carotid artery, maxillary artery, facial artery, occipital artery, sphenopalatine artery and ascending pharyngeal artery respectively according to the angiographic findings and the region of hemorrhage sites. Results TAE was successfully performed in all the cases, and no recurrence or serious complications were observed in the 3 to 12-month follow-up. Conclusion TAE is safe and effective in the treatment of massive hemorrhage in the nasopharyngeal and maxillofacial regions.