数字减影血管造影栓塞术对治疗顽固性鼻出血的效果评价

目的 探讨数字减影血管造影栓塞术治疗顽固性鼻出血的临床效果。方法对17例经行前、后鼻孔填塞失败的顽固性鼻出血患，在数字减影血管造影(DSA)的基础上，行高选择性单侧或双侧颌内动脉末梢和面动脉异常病变血管内明胶海绵碎粒栓塞术。结果DSA发现17例患均存在不同程度和范围的颌内动脉末梢发育不良或畸形，3例伴有面动脉形态异常；17例均一次性栓塞治愈，随访8月至5年无再鼻衄，术后无严重并发症。结论数字减影血管造影栓塞术是治疗顽固性鼻出血理想的方法；临床疗效迅速、稳定可靠。

Digital subtraction angiography embolization for treatment of uncontrollable epistaxis

Objective To investigate the effect of digital subtraction angiographic embolization for treatment of uncontrollable epistaxis. Methods 17 patients with uncontrollable epistaxis were treated with embolization aided by digital subtraction angiography(DSA) of carotid, meanwhile the facial artery were also embolized in 3 cases. Results It was comfirmed that hypogenesis and malformation in the ends of internal maxillary artery were existed in all cases during DSA, and facial artery with abnormal shape was found in 3 cases. Nose bleeding was stopped in all cases after embolized. There no recurrent nose-bleeding was observed in all cases after a follow-up of 0.8 to 5 years and no severe complications occurred to these cases. Conclusion Angiographic embolization is a safe and effective method for stopping uncontrollable epistaxis and it is the best method in the senile patients with other diseases.