介入栓塞术在耳廓巨大血管瘤手术中的临床价值

目的探讨数字减影成像显影下介入栓塞术在耳廓巨大血管瘤手术中的临床疗效及应用价值。方法回顾分析近3年来5例耳廓巨大血管瘤患者，术前行DSA血管造影判断责任血管并行介入栓塞治疗，观察栓塞后肿瘤形态、术中出血、伤口愈合及并发症情况。结果5例耳廓巨大血管瘤患者术前对责任血管栓塞后瘤体明显缩小、颜色变暗，48 h内行手术治疗，术中出血平均约100 ml，伤口一期愈合，无术后出血及偏瘫等并发症。结论耳廓巨大血管瘤术前辅助介入栓塞治疗后可明显减少术中出血、缩短手术时间，提高手术成功率。 

Clinical value of the interventional embolization in treatment of huge hemangioma of auricle

ObjectiveTo investigate the clinical value of interventional embolization in huge hemangioma of auricle and to analyse its curative effects.MethodRetrospective analysis about 5 cases of auricle large hemangioma in recent 3 years, preoperative line all patients underwent digital subtraction angiography (DSA), and were treated by intervention embolization successfully. The tumor shape, intraoperative bleeding, wound healing and complications were observed.ResultAfter preoperative vascular embolization, 5 cases tumors had become smaller and darker. Within 48 h, 5 cases underwent surgical treatment. Less intraoperative bleeding (about 100 ml per case on average), well wound healing and no complications such as postoperative bleeding and hemiplegia.ConclusionThe preoperative using of interventional embolization showed an excellent clinic effect on treatment of huge hemangioma of auricle.To huge hemangioma of auricle with rich blood supply, preoperative embolization could be reduce the operative bleeding efficiently, shorten the operation and improve the successful rate of operation.