颜面部动静脉畸形的介入治疗

Interventional radiologic therapy for arteriovenous malformations in the face

目的 介绍经动脉栓塞介入治疗动静脉畸形 (AVM)的方法 ,总结 17例颜面部AVM介入治疗的效果。方法 1998年 3月开始采用经皮穿刺股动脉插管 ,置导管于病变血管团供血动脉处 ,注入栓塞剂进行栓塞治疗。 17例中 11例行单纯栓塞治疗 ,6例于栓塞后行手术切除。结果 17例患者经介入栓塞治疗后 ,即时造影均无异常血管显影 ,临床症状有不同程度的缓解。栓塞后进行手术的患者 ,出血量明显减少。结论 介入栓塞疗法为动静脉畸形的治疗提供了一个新的途径 ;手术前栓塞治疗可以明显减少术中的出血 ,降低手术的危险性。

Objective To introduce the technique of transarterial interventional embolization treating for arteriovenous malformations (AVM) in the face. Methods From April 1998, 17 patients have been treated with this method. Seldinger's maneuver was used in this series. Of them, 11 cases received only interventional embolization; 6 cases received both interventional embolization and surgical resection. Results The interventional embolization was effective in all the 17 cases, which was confirmed by immediate angiography. Their clinical symptoms were gradually relieved. Interventional embolization obviously decreased hemorrhage during surgical resection. Conclusions Interventional embolization provides a new way for the treatment of AVM. Preoperative embolization can lower the surgical risk as it obviously decreases hemorrhage during the surgical procedure.;