【作者】 戚跃勇； 孙清荣； 梁开运； 邹利光； 周政； 刘俊；

【Author】 Qi Yue-yong~1 Sun Qing-rong~1 Liang Kai-yun~1 Zhou Li-guang~1 Zhou Zheng~2 Liou Jun~2 (Department of Radiology,Xinqiao Hospital,Third Military Medical University,Chongqing,China 400037)

【机构】 第三军医大学新桥医院放射科； 第三军医大学新桥医院脑外科；

【摘要】 目的:探讨头面部蔓状血管瘤的血管造影诊断和选择性栓塞治疗的价值．方法:回顾性分析 12例头面部蔓状血管瘤病例选择性动脉造影和分次完全填充栓塞的资料。结果:12例头面部蔓状血管瘤患者经血管造影检查均得以明确诊断．经分次完全填充栓塞治疗后治愈4例,显效6例,有效2例．经超选择性插管后用线段、聚乙烯醇微粒(PVA 颗粒)、明胶海绵、弹簧圈或可脱球囊栓塞上颌动脉5支,颞浅动脉5支,面动脉4支,枕动脉3支及耳后动脉2支。4例患者行单次栓塞,7例患者行2次栓塞,1例患者行3次栓塞．所有患者栓塞后即刻造影均见拟栓塞的靶血管团基本消失．5例栓塞后行手术切除,术中出血明显减少．所有病例术中及术后均无严重并发症发生。结论:经选择性血管造影明确诊断后进行栓塞是治疗头面部蔓状血管瘤安全有效的手段。更多还原

【Abstract】 OBJECTIVE:To explore the value of angiographic diagnosis and the embolization treatment of craniofacial racemosum hemangioma.METHODS:The records of twelve patients with craniofacial racemosum hemangioma (8 men,4 women;aged 11～38; average age 24.3) who underwent selective angiography and separately complete filling embolization were analyzed retrospectively.RESULTS:All of the 12 patients who underwent selective angiography on the left and right external carotid artery obtained the correct diagnoses. Among the 12 cases,four patients were clinically cured,6 were improved markedly effectively, and 2 were improved effectively.The overall effective rate was 100%.By superselective catheterization,the silk segments,PVA (polyvinyl alcohol foam),gelfoam,steel coils or detachable balloons were used for the embolization of feeding arteries,including the maxillary artery (5 cases),superficial temporal artery (5 cases),facial artery (4 cases),occipital artery (3 cases) and posterior auricular artery (2 cases).Embolization was performed once in 4 cases,twice in 7 cases and three times in 1 case.Immediate angiographical results showed total disappearance of the supplying artery in all patients.In 5 cases with preoperative embolization,the intraoperative bleeding decreased obviously.There were no severe complications during or after operation. CONCLUSION:Transcatheter arterial embolization is an effective and safe therapeutic method for craniofacial racemosum hemangioma when angiography and superselective catheterization are perfectly done.更多还原