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目的探讨选择性动脉栓塞治疗鼻咽部纤维血管瘤的安全性和有效性。方法采用股动脉路径,对8例鼻咽部纤维血管瘤患者进行双侧颈内外动脉造影;并采取超选择插管对鼻咽部纤维血管瘤的供血血管进行栓塞,供血动脉主要为颈外动脉系统,以其分支颌内动脉多见,部分有颈内动脉系统参与供血。结果8例患者于栓塞术后血管瘤体积明显缩小,其中5例于栓塞后2～3d行手术切除,术中出血量明显减少,肿瘤易于剥离。结论鼻咽部纤维血管瘤行动脉内栓塞,疗效肯定、安全可靠、并发症少,术前应用能减轻手术创伤、缩短手术时间、降低术后复发率。
Objective To investigate the safety and efficacy of selective arterial embolization in the treatment of nasopharyngeal fibroadenoma. Methods 8 patients with nasopharyngeal fibroadenoma underwent bilateral internal and external carotid artery angiography with femoral artery approach. The superselective intubation was used to embolize the blood vessels of nasopharyngeal fibroadenoma. The main feeding artery was external carotid artery System, with its branches more common in the maxillary artery, some of the internal carotid artery system involved in blood supply. Results The volume of hemangiomas in 8 patients was significantly reduced after embolization. Among them, 5 patients underwent surgical resection 2 to 3 days after embolization. The blood loss was significantly reduced and the tumors were easily peeled off. Conclusions Intra-arterial embolization of nasopharyngeal fibro-hemangioma is reliable, safe and reliable with few complications. Preoperative application can reduce the surgical trauma, shorten the operation time and reduce the recurrence rate.