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目的探讨鼻咽纤维血管瘤术前栓塞的疗效及并发症。方法5例鼻咽纤维血管瘤手术前1～3日行超选择供血动脉栓塞,观察栓塞后副作用及并发症,并记录手术时出血量。结果一侧颌内动脉供血4例,合并咽升动脉供血1例。3例完全栓塞,2例仅部分栓塞。副作用为栓塞侧面部疼痛2例。无严重并发症发生。所有病变均完整切除。术中平均出血量为475ml。结论鼻咽纤维血管瘤术前栓塞能减少术中出血量,提高完整切除率。
Objective To investigate the efficacy and complications of preoperative embolization of nasopharyngeal hemangioma. Methods 5 cases of nasopharyngeal hemangioma were surgically treated with superselective arterial embolization 1 ~ 3 days before operation, the side effects and complications after embolization were observed, and the amount of bleeding during operation was recorded. Results One side of the maxillary artery in 4 cases, merger pharyngeal artery in 1 case. 3 cases of complete embolization, 2 cases only partial embolization. Side effects of embolism side of the pain in 2 cases. No serious complications occurred. All lesions were completely removed. Intraoperative blood loss was 475ml. Conclusion Preoperative embolization of nasopharyngeal fibrosioma can reduce intraoperative blood loss and improve the complete resection rate.