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目的 总结局部穿刺栓塞治疗头颈部高血流病变的经验。方法 11例头颈部高血流病变 ( 8例颌骨中心性血管瘤 ,3例鼻咽纤维血管瘤 )进行了局部穿刺栓塞治疗。数字减影颈动脉造影在PhilipsV30 0 0下完成。颌骨中心性血管瘤采用的栓塞材料为附纤毛的螺形圈 ,鼻咽纤维血管瘤采用的栓塞材料为组织胶 (N butyl 2 cyanoacrylate,NBCA)。穿刺针为 14G和长 7号注射针。结果颌骨中心性血管瘤急性出血的患者经局部穿刺栓塞圈栓塞 ,有效控制了出血。随访 9～ 2 4个月后 ,未发现有口腔内渗血或出血 ,随访X线平片可见螺形圈周围成骨。 3例鼻咽纤维血管瘤局部穿刺栓塞后行手术治疗 ,手术中未行输血 ,完整摘除肿瘤。结论 局部穿刺栓塞治疗头颈部高血流病变是 1种有效、安全的治疗方法。
Objective To summarize the experience of local puncture embolization in the treatment of head and neck high blood flow lesions. Methods 11 cases of head and neck high blood flow disease (8 cases of central jaw hemangioma, 3 cases of nasopharyngeal fibroadenoma) were treated by local puncture and embolization. Digital subtraction carotid angiography was done on a Philips V30 0 0. Embolic material used for mandibular central hemangioma is a ciliated spiral ring, and embolization material for nasopharyngeal hemangioma is N butyl 2 cyanoacrylate (NBCA). Puncture needle for the 14G and long No. 7 injection needle. Results The patients with acute central hemangiomas of the jaw were embolized by the local puncture embolization, which effectively controlled the bleeding. Follow-up 9 to 24 months after the oral bleeding or bleeding was not found, follow-up X-ray showed spiral around the spine. Three cases of nasopharyngeal fibrovascular tumor were treated by local puncture and embolization. No blood transfusion was performed during the operation, and the tumor was completely removed. Conclusion Local puncture embolization for the treatment of head and neck high blood flow lesions is an effective and safe treatment.