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目的:探讨鼻咽纤维血管瘤术前栓塞的应用价值。方法:17例鼻咽纤维血管瘤患者,单纯手术摘除10例,术前3天进行数字减影血管造影(DSA)检查及血管内栓塞术7例。结果:7例术前栓塞组术中出血200~700 mL,平均430 mL;输血0~550 mL;10例单纯手术组出血550~1430 mL,平均1200 mL,输血350~1200 mL。术前栓塞组出血量和输血量较单纯手术组显著减少。结论:术前瘤体栓塞治疗鼻咽纤维血管瘤是安全有效、理想的术前辅助治疗手段。
Objective: To investigate the value of preoperative embolization of nasopharyngeal fibrosioma. Methods: Seventeen patients with nasopharyngeal angiofibroma were treated with simple surgeries and 10 patients underwent digital subtraction angiography (DSA) and endovascular embolization in 7 days. Results: In the preoperative embolization group, hemorrhage was 200-700 mL in the preoperative embolization group, with an average of 430 mL and transfusion of 0-550 mL. In 10 patients, hemorrhage was 550-1430 mL in the simple operation group, with an average of 1200 mL and blood transfusion of 350-1200 mL. Preoperative embolization group blood loss and transfusion volume was significantly reduced compared with the surgery alone group. Conclusion: Preoperative embolization of nasopharyngeal fibroadenoma is a safe and effective preoperative adjuvant therapy.