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头面部复杂动静脉畸形的栓塞治疗
引用本文:赵剑波,曾庆乐,陈勇,卢伟,何晓峰,李彦豪.头面部复杂动静脉畸形的栓塞治疗[J].实用放射学杂志,2003,19(6):538-540.
作者姓名:赵剑波  曾庆乐  陈勇  卢伟  何晓峰  李彦豪
作者单位:第一军医大学南方医院介入治疗科,广东,广州,510515
摘    要:目的 研究经导管栓塞技术在头面部动静脉畸形治疗中的应用。方法  3 0例头面部动静脉畸形患者共接受 40次栓塞治疗。其中使用国产TH胶栓塞者为 18例 2 0次 ,使用进口PVA微粒栓塞者为 12例 2 0次。结果  3 0例患者均成功实行瘤灶供血动脉栓塞术。所有患者栓塞术后临床症状明显改善 ,如瘤体缩小甚至消失 ,皮温降低 ,搏动感和血管杂音减弱或消失等。术后随访3~ 6个月 ,12例复发。全部病例均无严重并发症。结论 对于头面部动静脉畸形的患者来说 ,经导管栓塞术是一种较好的非手术治疗方法 ,在栓塞剂的选择方面 ,则以PVA微粒栓塞更为理想。

关 键 词:动静脉畸形  栓塞  头面部
文章编号:1002-1671(2003)06-0538-03
修稿时间:2002年4月2日

Embolization Therapy of Maxillofacial Arterialvenous Malformation
ZHAO Jian-bo,ZENG Qing-le,CHEN Yong,LU Wei,HE Xiao-feng,LI Yan-hao.Embolization Therapy of Maxillofacial Arterialvenous Malformation[J].Journal of Practical Radiology,2003,19(6):538-540.
Authors:ZHAO Jian-bo  ZENG Qing-le  CHEN Yong  LU Wei  HE Xiao-feng  LI Yan-hao
Abstract:Objective To evaluate the value of transcatheter artery embolization in the therapy of maxillofacial arteriovenous malformation (AVM).Methods 40 times of embolization were performed in 30 patients of AVM. 20 time using TH glue in 18 patients and 20 time using PVA in 12 patients.Results 30 cases were completed in all patients. There were obviously improvement of clinical symptoms in all patients after embolization. Within the follow-up 3 to 6 months(average 2.5 months), there were 12 recurrence and all patients were no serious complication occurred. Conclusion Transcatheter artery embolization is a effective method to AVM. PVA is more suitable opposite to TH glue.
Keywords:arterialvenous malformation  embolization  maxillofacial
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