数字减影血管造影栓塞术治疗顽固性鼻出血临床观察

目的：探讨数字减影血管造影栓塞术治疗顽固性鼻出血的疗效。方法：对21例多次行后务孔填塞失败的顽固性鼻出血患者行超选择性颌内动脉、面动脉栓塞。结果：栓塞单侧颌内动脉21全 ，双侧3例次，栓塞面动脉11例次；重复2次栓塞2例，全部栓塞成功，无1例发生严重并发症，随访6个月－3年，无1例复发。结论：数字减影血管造影栓塞术是一种安全、有效的止血方法，尤其对老年患者或伴有其他疾病的顽固性鼻出血患者，在保守治疗失败的情况下，只要严格掌握其适当证，该术式是治疗的上佳选择。

Clinical Application of Digital Subtraction Angiographic Embolization in the Treatment of Uncontrollable Epistaxis

Objective: To study the effect of digital subtraction angiographic embolization in the treatment of uncontrollable epistaxis. Methods: 21 cases of patients with uncontrollable posterior epistaxis were performed superselective embolization under digital subtraction angiography. Results: They were cured without any severe complication. After 0.5-3 years follow up none of them had recurrence. Conclusion: Digital subtraction angiographic embolization is a safe and effective method to manage uncontrollable epistaxis . It is better in the elder patients accompanied with other disease so long as its surgical indication is correctly selected.