内镜下鼻咽血管纤维瘤切除术前选择性供血动脉栓塞6例临床分析

Selective transcatheter arterial embolization before resection of nasopharyngeal angiofibroma: report of 6 cases

摘要: 目的:探讨鼻咽血管纤维瘤内镜下切除前选择性供血动脉栓塞临床价值。方法:6例鼻咽血管纤维瘤,术前采用真丝线段和明胶海绵在DSA下行瘤体栓塞,2天后在鼻内镜下手术切除。结果:6例均1次栓塞成功。在内镜下手术切除肿瘤,术中出血量50~300 ml,术野清楚,术后CT检查提示肿瘤切除彻底。结论:鼻咽血管纤维瘤术前栓塞可明显减少术中出血量,具有广泛的应用前景。

Abstract: Objective: To assess the clinical value of selective transcatheter arterial embolization(TAE) in nasopharyngeal angiofibroma before operation.Methods: Six cases of nasopharyngeal angiofibroma were embolized with silk particles and gelatin sponge under digital subtraction angiography(DSA),and surgical resection was performed under endoscope 2 days later.Results: All the cases were successfully embolized at one time.The mean amount of haemorrhage during operation was 50-300 ml.Computed Tomography showed that the nasopharyngeal angiofibroma was completely removed in all the cases.Conclusions: Selective transcatheter arterial embolization before resection of nasopharyngeal angiofibroma can reduce the mean amount of haemorrhage during operation,which promises an extensive prospect in wider application.