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目的探讨介入诊疗技术(血管造影和栓塞)在鼻咽部血管纤维瘤的临床应用价值。方法回顾性分析10例鼻咽部血管纤维瘤患者(栓塞组)的选择性动脉造影与栓塞的临床资料,并选择10例术前未行栓塞的单纯手术切除者为对照组(未栓塞组)。结果 10例鼻咽部血管纤维瘤患者经血管造影检查均能明确诊断,能显示瘤体的范围、供血动脉等清晰的动态图像及其特征。栓塞组手术切除术中平均出血量400 ml,较未栓塞组平均出血量1500 ml明显减少。所有栓塞组病例术中术后均无严重并发症发生,手术切除后未见复发,未栓塞组2例复发。结论血管造影(DSA)能明确鼻咽部血管纤维瘤的诊断,血管内栓塞有良好的治疗效果,可减少术中的出血量,大大提高手术的安全性。
Objective To investigate the clinical value of interventional therapy (angiography and embolization) in nasopharyngeal angiofibroma. Methods The clinical data of 10 cases of selective angiography and embolization of nasopharyngeal angiofibroma patients (embolization group) were retrospectively analyzed. Ten patients who underwent preoperative embolization alone were selected as the control group (non-embolized group) . Results 10 cases of nasopharyngeal angiofibroma patients can be diagnosed by angiography, showing the scope of the tumor, clear dynamic images of the donor arteries and their characteristics. In the embolization group, the average amount of bleeding in the surgical resection was 400 ml, which was significantly lower than that in the non-embolized group (1500 ml). All embolization group cases no serious postoperative complications, no recurrence after resection, two cases of non-embolization group relapse. Conclusion Angiography (DSA) can confirm the diagnosis of nasopharyngeal angiofibroma. The intravascular embolization has a good therapeutic effect, which can reduce intraoperative blood loss and greatly improve the safety of the operation.