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目的:分析颌面部动静脉畸形的临床特点,探讨急诊颌面部动静脉畸形的临床诊治方法及治疗效果。方法:选择50例在我院就诊的有自发性出血、反复出血病史的颌面部动静脉畸形患者进行血管造影检查及栓塞治疗,为了达到较好的止血效果,对有关病变的回流静脉、供血动脉及畸形血管网的分布特征进行分析。介入栓塞为主,手术治疗为辅的治疗手法是目前治疗动静脉畸形的主要治疗方法。结果:在我院接受治疗的50例患者中,47例患者手术成功(成功率94%),随着时间的推移,原瘤体部位颜色、温度均逐渐恢复正常,患者对术后外观表示满意。结论:与单纯介入治疗相比,对于颌面部动静脉畸形患者实施“介入+手术”治疗效果较好,成功率较高,可以有效改善因颌面部动静脉畸形造成的出血溃烂影响的外貌形象。
Objective: To analyze the clinical features of maxillofacial arteriovenous malformations and to explore the clinical diagnosis and treatment of maxillofacial arteriovenous malformations. Methods: Fifty patients with maxillofacial arteriovenous malformation who had spontaneous bleeding and recurrent hemorrhage were selected for angiography and embolization in our hospital. In order to achieve a better hemostatic effect, Arterial and malformation vascular network distribution characteristics were analyzed. Interventional embolization, surgical treatment supplemented by the treatment is the main treatment of arteriovenous malformations. Results: Among the 50 patients treated in our hospital, 47 patients were successfully operated (success rate 94%). With the passage of time, the color and temperature of the original tumor part gradually returned to normal, and the patient was satisfied with the appearance after operation . Conclusion: Compared with the simple interventional therapy, the treatment of maxillofacial arteriovenous malformations with “interventional + operation” is better and the success rate is higher, which can effectively improve the hemorrhagic ulceration caused by maxillofacial arteriovenous malformations The appearance of the image.