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超选择性栓塞在鼻咽纤维血管瘤术前治疗中的临床价值

The Clinic Value of Preoperative Superselective Embolization for Juvenile Nasopharyngeal Angiofibroma

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【作者】 许林锋张靖陈耀庭骆江红陈斌

【Author】 XU Linfeng, ZHANG Jing, CHEN Yaoting,et al.Department of Interventional Radiology, the Second Clinic Hospital Affiliated SUN Yat-SenUniversity, Guangzhou, Guangdong Province 510120, P. R. China

【机构】 广州中山大学附属第二医院介入放射科广州中山大学附属第二医院介入放射科

【摘要】 目的探讨鼻咽纤维血管瘤(JNA)术前栓塞的价值。资料与方法回顾性分析21例病理证实的JNA患者的诊治情况,其中6例术前行供血动脉栓塞术。结果JNA栓塞后再行切除者,平均出血量、输血量均少于未行栓塞者,其中对于Ⅰ~Ⅲ期者先栓塞后行内镜切除者出血、输血量及手术时间明显减少。结论JNA术前栓塞疗效确切,对于Ⅰ~Ⅲ期者行栓塞术后再行内镜直视下切除效果好。

【Abstract】 Objective To assess the clinic value of preoperative embolization for nasopharyngeal angiofibroma. Materials and Methods 21 patients with nasopharyngeal angiofibroma confirmed by surgery and pathology were retrospectively analyzed. 6 cases were embolized before operation. Results The average blood loss and blood transfusion volume by embolization was less than that by non-embolization before resection, and the average blood loss and blood transfusion volume was much less in the cases classified Ⅰ~Ⅲ with embolization and endoscopic excision. Conclusion The effect of preoperative embolization for Juvenile nasopharyngeal angiobroma is definite, lesions to be classified I~III, embolization followed endoscopic excision will have great advantages.

  • 【文献出处】 临床放射学杂志 ,Journal of Clinical Radiology , 编辑部邮箱 ,2007年10期
  • 【分类号】R739.63
  • 【被引频次】3
  • 【下载频次】72
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