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动脉栓塞术在耳鼻喉疾病的临床应用

Clinical application of arterial embolization in otorhinolaryngologic diseases

临床医学前沿 / 2020,2(2)：47-53 / 2020-05-25 2038 3357

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• 作者： 李建林     
• 单位：

  内蒙古医科大学，呼和浩特

• 关键词： 动脉栓塞术；超选择性；耳鼻喉；疾病
• Arterial embolization; superselective; Otolaryngology; disease
• 摘要： 目的：评价超选择性动脉栓塞术在耳鼻喉疾病的临床应用价值。方法： 24 例患有耳鼻喉疾病的患者行超选择性动脉栓塞术。结果：15 例各种原因所致 严重鼻出血患者经超选择动脉栓塞治疗后，出血均获得有效的控制，9 例鼻咽纤 维血管瘤术前栓塞肿瘤供血动脉均获成功，术中出血量减少，手术野清晰，肿 瘤更易于辨认、切除。所有行超选择性动脉栓塞术的患者均未发生严重并发症。 结论：超选择性动脉栓塞术是诊断和治疗严重耳鼻喉出血的安全、有效的方法。 鼻咽纤维血管瘤术前行选择性动脉栓塞术，能有效地减少术中出血量，有利于 提高手术的成功率，减少并发症。
• Objective: To evaluate the clinical value of superselective arterial embolization in otorhinolaryngologic diseases. Methods: superselective arterial embolization was performed in 24 patients with otorhinolaryngologic diseases. Results: after superselective arterial embolization, 15 patients with serious epistaxis caused by various reasons were effectively controlled. 9 patients with nasopharyngeal fibroangioma were successfully embolized with the blood supply artery before operation. The amount of bleeding during operation was reduced, the operation field was clear, and the tumor was easier to identify and remove. No serious complications occurred in all patients. Conclusion: superselective arterial embolization is a safe and effective method for the diagnosis and treatment of serious otorhinolaryngologic hemorrhage. Selective arterial embolization before the operation of nasopharyngeal fibroangioma can effectively reduce the amount of bleeding, improve the success rate of the operation and reduce complications.
• DOI： https://doi.org/10.35534/fcm.0202009c
• 引用： 李建林．动脉栓塞术在耳鼻喉疾病的临床应用［J］．临床医学前沿，2020，2（2）：47-53．