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目的 :探讨鼻腔、口腔严重出血的非手术治疗方法 ,DSA表现及并发症。方法 :采用 Seldinger′s法 ,以明胶海绵为栓塞材料对 9例鼻和口腔严重出血病人施行急诊超选择性颌内动脉和面动脉栓塞术。结果 :5例出血病人完全止血 ,随访 6～ 36个月无复发 ,1例病人栓塞术后出血明显减少 ,1例病人栓塞后 1月再次出血 ,第二次栓塞后随访 6个月未复发。 2例病人栓塞后活动性出血停止 ,继续接受放疗。结论 :超选择性动脉栓塞治疗严重口、鼻出血简捷、安全、效果肯定 ,可在临床推广应用。
Objective: To explore the non-surgical treatment of severe nasal and oral bleeding, DSA findings and complications. Methods: Seldinger ’s method was used to perform emergency superselective maxillary internal carotid artery and facial artery embolization in 9 cases of severe nasal and oral bleeding with gelatin sponge as embolic material. Results: The hemostasis was completely stopped in 5 cases. No recurrence was observed in 6 to 36 months after follow - up. One patient had significantly less hemorrhage after embolization. One patient had hemorrhage again at 1 month after embolization and no recurrence after 6 months. 2 patients with active bleeding after embolization stopped, continue to receive radiotherapy. Conclusion: Superselective arterial embolization for severe oral and epistaxis is simple, safe and effective, which can be popularized and applied clinically.