超选择性颈外动脉分支栓塞术在难治性鼻出血中的应用

目的:探讨经微导管超选择性颈外动脉分支栓塞术在治疗难治性鼻出血中的应用价值。方法:46例难治性鼻出血患者,首选超选择性颈外动脉分支栓塞术者36例,首选颈外动脉结扎者10例。结果:36例首选颈外动脉分支栓塞术者1次性治愈32例(88.9%),10例首选颈外动脉结扎者1次性治愈4例(40.0%)。前者平均住院4.8d,后者平均住院10d。复发患者均经综合方法有效止血,并发症少。结论:经微导管超选择性颈外动脉分支栓塞术治疗难治性鼻出血简便、安全、有效,疗效明显优于颈外动脉结扎,综合运用多种方法能有效治疗难治性鼻出血。

Application of selective external carotid artery embolization in the intractable epistaxis

Objective:To evaluate the value of super-elective transcatheter external carotid arterial embolization(TAE) in the treatment of intractable epistaxis.Method:Forty-six cases of intractable epistaxis were selected,TAE was performed in 36 cases and externa carotid artery ligation was elected in 10 cases.Result:The curing rate was 88.9%(32/36) in cases treated by TAE and was 40.0%(4/10) in cased treated by external carotid artery ligation, and the average hospital days of the former was 4.8 days,while the latter was 10 days. Recurrency were effectively stopped bleeding by all kinds of methods, and complications were rare.Conclusion:Transcatheter external carotid arterial embolization is a simple,safe and effective treatment for the intractable epistaxis,which has more advantages than external carotid artery ligation, and comprehensive methods can effectively and thoroughly cure intractable epistaxis.