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血管栓塞疗法已有数十年历史。1930年Brooks首次用肌肉块栓塞血管治疗了一例颈内动脉一海绵窦瘘的病人。1960年Luessenhop应用甲基丙烯酸甲酯经颈动脉进行栓塞疗法成功地治愈了脑动静脉畸形。1970年Djindjian和Longacre等在超选择性血管造影后栓塞了颈外动脉及其分支。近十余年来,随着血管造影技术的改进和完善血管栓塞疗法也得到了相应的发展。它开辟了一条新的治疗途径,对于神经外科、耳鼻喉科、颌面外科和颈部外科都有一定的意义。本文主要阐述血管栓塞疗法在头颈部的应用。
Vascular embolization therapy has been for decades. In 1930 Brooks first used a block of blood to block a patient with a carotid artery-cavernous fistula. In 1960 Luessenhop applied methyl methacrylate transcatheter arterial embolization to successfully cure cerebral arteriovenous malformations. In 1970, Djindjian and Longacre embolized the external carotid artery and its branches after superselective angiography. Over the past decade, with the improvement of angiography and the improvement of vascular embolization the corresponding development has also been achieved. It opens up a new approach to treatment. It has a certain significance for neurosurgery, otolaryngology, maxillofacial surgery, and neck surgery. This article mainly describes the application of vascular embolization in the head and neck.