| 术前IADSA和栓塞术在鼻咽纤维血管瘤治疗中的应用 |
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| 引用本文： | 李进让,钱进.术前IADSA和栓塞术在鼻咽纤维血管瘤治疗中的应用[J].中国耳鼻咽喉颅底外科杂志,1998,4(1):12-14. |
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| 作者姓名： | 李进让 钱进 |
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| 作者单位： | 北京海军总医院耳鼻咽喉科!北京，100037，北京海军总医院耳鼻咽喉科!北京，100037，北京海军总医院耳鼻咽喉科!北京，100037，北京海军总医院耳鼻咽喉科!北京，100037 |
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| 摘 要： | 目的：研究分析术前经动脉数字减影血管造影（ＩＡＤＳＡ）和栓塞术在鼻咽纤维血管瘤治疗中的价值。方法：分析本院２１例鼻咽纤维血管瘤患者的临床分析治疗资料，１主后１年复发，再次手术治疗。２２次手术中，术前行及未行ＩＡＤＳＡ和栓塞术的各１１次。 术前示行和行ＩＡＤＳＡ和栓塞术的要中平均出血量和输血量。结果：术前未行和行ＩＡＤＳＡ和栓塞术的术中出量量和输血量分别为１１３６ｍｌ、８３６ｍｌ、６７７ｍｌ、４００
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| 关 键 词： | 鼻咽纤维血管瘤 血管造影术 数字减影 栓塞治疗 |
VALUE OF PREOPERATIVE EMBOLIZATION IN SURGERY FOR NASOPHARYNGEAL ANGIOFIBROMA |
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| Li Jinrang, Qian Jin, Shan Xizheng, et al.VALUE OF PREOPERATIVE EMBOLIZATION IN SURGERY FOR NASOPHARYNGEAL ANGIOFIBROMA[J].Chinese Journal of Otorhinolaryngology-skull Base Surgery,1998,4(1):12-14. |
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| Authors: | Li Jinrang Qian Jin Shan Xizheng |
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| Abstract: | Objective: To evaltiate the value of preoperative embolization in surgery for nasopharyngeal angiofibroma. Methods: Retrospective analysis of the clinical data of 21 patients (22 procedures) with nasopharyngeal angiofibroma was conducted. Eleven patients underwent preoperative introarterial digital subtraction angiography (IADSA) and embolization with Gelfoam. The blood loss in patientspreoperatively embolized and patients treated with surgery alone was compared.Results: Embolization reduced intraoperative blood loss from an average of 1136 ml in the non-embolized patients to 677 ml in the embolized patients (P < 0. 05 ) and transfusion from an average of 836 ml to 400 ml (P <0.01 ). Conclusion: Preoperative embolization is effective in reducing intraoperative blood loss. |
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| Keywords: | Angiofibroma nasopharyx Angiography digital subtractionEmbolism |
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