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目的观察超选择性颈外动脉栓塞术治疗难治性鼻出血的临床疗效。方法采用超选择性颈外动脉栓塞术治疗难治性鼻出血19例。结果本组均栓塞成功,栓塞后出血停止,即时止血率达100%;术中患者生命体征平稳,术后随访1个月未再发鼻出血;并发面颊部软组织肿胀9例,张口困难6例,面神经麻痹2例,嚼肌疼痛1例,均自行恢复。结论超选择性颈外动脉栓塞术治疗难治性鼻出血创伤小,疗效较好。
Objective To observe the clinical effect of super selective external carotid artery embolization in the treatment of intractable epistaxis. Methods Nineteen patients with intractable epistaxis were treated with superselective external carotid artery embolization. Results The group was successfully embolized, bleeding stopped after embolization, immediate hemostasis rate reached 100%; intraoperative patients with stable vital signs, postoperative follow-up one month without recurrence of nasal hemorrhage; concurrent cheek soft tissue swelling in 9 cases, dilation difficulties in 6 cases , Facial nerve paralysis in 2 cases, 1 case of chewing muscle pain, all self-recovery. Conclusion Superselective external carotid artery embolization in the treatment of intractable epistaxis trauma is small, the effect is better.