鼻咽血管纤维瘤术前双重介入栓塞的临床价值

目的探讨双重介入栓塞对治疗鼻咽血管纤维瘤的临床价值。方法7例鼻咽血管纤维瘤患者,术前均行DSA造影检查,其中6例病灶主要由上颌动脉及颈内动脉分支供血,均行双重介入栓塞治疗即局部穿刺瘤体内直接栓塞 供瘤动脉栓塞;另1例仅上颌动脉供血,故仅行供瘤动脉栓塞。结果所有病灶在栓塞后造影检查中均明显缩小。结论双重介入栓塞治疗可作为鼻咽血管纤维瘤术前必备的辅助治疗措施。

Clinical value of pre-operative double embolization for nasopharyngeal angiofibroma

Objective To evaluate the clinical value of pre-operative double embolization for nasopharyngeal angiofibroma. Methods Digital subtraction angiography(DSA) was carried out in 7 cases of nasopharyngeal angiofibroma. In six cases,the supplying arteries originated from the maxillary artery and the branches arising from internal carotid artery underwent double embolization-direct percutaneous puncture embolization and selective embolization of blood supplying arteries. In another case,the supplying artery originated from maxillary artery was only undertaken selective embolization for the feeding arteries. Results All the tumor masses reduced in vonlume obviously or even disappeared on the angiography after embolization. Conclusions Pre-operative double embolization for nasopharyngeal angiofibroma could be a necessary additional treatment method. (J Intervent Radiol,2006,15: 342-344)