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目的 介绍经动脉栓塞介入治疗动静脉畸形 (AVM)的方法 ,总结 17例颜面部AVM介入治疗的效果。方法 1998年 3月开始采用经皮穿刺股动脉插管 ,置导管于病变血管团供血动脉处 ,注入栓塞剂进行栓塞治疗。 17例中 11例行单纯栓塞治疗 ,6例于栓塞后行手术切除。结果 17例患者经介入栓塞治疗后 ,即时造影均无异常血管显影 ,临床症状有不同程度的缓解。栓塞后进行手术的患者 ,出血量明显减少。结论 介入栓塞疗法为动静脉畸形的治疗提供了一个新的途径 ;手术前栓塞治疗可以明显减少术中的出血 ,降低手术的危险性。
Objective To introduce the interventional treatment of arteriovenous malformations (AVM) by arterial embolization and summarize the effect of interventional treatment of 17 cases of facial AVM. Methods Percutaneous puncture of femoral artery was started in March 1998. The catheter was placed on the feeding artery of diseased vascular mass and embolization agent was injected for embolization. Of the 17 cases, 11 cases were treated with simple embolization, and 6 cases were performed with surgical resection after embolization. Results 17 patients after interventional embolization, instant angiography without abnormal vascular imaging, clinical symptoms have varying degrees of remission. Patients who underwent surgery after embolization experienced a significant reduction in bleeding. Conclusion Interventional embolization provides a new approach for the treatment of arteriovenous malformations. Preoperative embolization can significantly reduce intraoperative bleeding and reduce the risk of surgery.