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目的旨在探讨鼻咽部纤维血管瘤术前栓塞的临床应用价值。方法对17例鼻咽部纤维血管瘤患者手术前行颌面部DSA检查及血管内栓塞术。栓塞血管主要为患侧上颌动脉,4例病灶范围较大者栓塞同侧咽升动脉、对侧上颌动脉等次要供血支。栓塞材料一般采用明胶海绵颗粒,部分病例同时加用弹簧圈。结果17例术前栓塞均成功,无严重并发症,手术出血200～750ml,平均450ml。随访8例,切除术后2-7年无复发。结论鼻咽部纤维血管瘤栓塞安全有效,是理想的术前辅助治疗手段。
Objective To explore the clinical value of preoperative embolization of nasopharyngeal fibro-hemangioma. Methods Seventeen patients with nasopharyngeal fibrovascular tumor underwent maxillofacial DSA and endovascular embolization. Embolization of the main vascular vessels in the affected side, 4 cases of a larger range of lesions embolize the ipsilateral pharyngeal ascending aorta, the contralateral maxillary artery secondary blood supply branch. Embolization materials generally use gelatin sponge particles, in some cases at the same time with the coil. Results 17 cases of preoperative embolization were successful, no serious complications, surgical bleeding 200 ~ 750ml, an average of 450ml. Follow-up 8 cases, resection 2-7 years without recurrence. Conclusion Nasopharyngeal fibrovascular embolization is safe and effective, which is an ideal preoperative adjuvant therapy.