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鼻咽血管纤维瘤亦称男性青春期鼻咽血管纤维瘤(JNA),是耳鼻咽喉科较为常见的良性肿瘤。因其生长部位及病理组织的特殊性,术中极易发生大出血,给手术造成困难,易致瘤体残留,或因出血而导致的各种并发症。目前,鼻内窥镜手术因其具有损伤小、术后愈合快等优点而获得广泛应用,但其对肿瘤的大小与部位有一定的限制。2000年1月以来,笔者采用数字减影血管造影术(DSA)行选择性血管栓塞加经皮穿刺瘤体内直接注射氰甲稀酸盐粘结剂(NBCA)栓塞,再配以外科手术治疗2例巨大鼻咽血管纤维瘤取得成功。现报道如下。
Nasopharyngeal angiofibroma, also known as male adolescent nasopharyngeal angiofibroma (JNA), is a relatively common benign otolaryngology tumors. Because of its growth site and the particularity of pathological tissue, intraoperative bleeding prone to surgery difficult to cause tumor-prone residue, or due to bleeding caused by a variety of complications. At present, nasal endoscopic surgery is widely used because of its advantages of small damage and rapid postoperative healing, but it has some limitations on the size and location of the tumor. Since January 2000, I used digital subtraction angiography (DSA) to perform selective vascular embolization plus percutaneous nephrostomy in vivo injection of cyanoacrylate (NBCA) embolization, together with surgical treatment 2 Cases of huge nasopharyngeal angiofibroma success. Report as follows now.