血管内栓塞治疗口鼻腔大出血

发布时间：2018-03-06 03:20

本文选题：口鼻腔出血　切入点：经导管动脉栓塞术　出处：《介入放射学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的评价经导管动脉栓塞术(TAE)治疗口鼻腔大出血的效果、并发症发生及预防。方法回顾2005年11月至2013年10月经治的121例难治性及致命性口鼻腔大出血患者临床资料。对116例接受TAE术治疗患者分别进行1~3个月随访,了解栓塞效果及相关并发症发生情况。结果 116例患者中96例(82.7%)出血完全控制,19例(16.4%)1周内再次出血并经药物治疗得以控制,1例(0.9%)1周内再次出血接受二次栓塞治疗;77例(66.4%)无明显并发症发生,35例(30.1%)出现颌面部疼痛、麻木,低热,张口受限等轻度并发症,1例(0.9%)出现面部皮肤坏死及重度头痛,3例(2.6%)因脑栓塞出现卒中症状。结论根据不同病因及责任血管选择适宜栓塞材料,TAE术治疗难治性及致命性口鼻腔大出血可快速有效达到止血目的。术后常见并发症有栓塞后综合征、局部缺血、末梢循环缺血所致局部坏死,严重并发症主要为异位栓塞所致颌面部皮肤坏死、脑梗死。
[Abstract]:Objective to evaluate the value of transcatheter arterial embolization (TAE) treatment of oral nasal bleeding effect, complications and prevention. Methods 121 cases from November 2005 to 2013 10 menstrual treatment of refractory and lethal oral nasal bleeding in patients with clinical data of 116 patients underwent TAE. Patients were followed up for 1~3 months, understand the effect of embolism and related complications. Results 116 patients in 96 cases (82.7%) hemorrhage control completely, 19 cases (16.4%) within 1 weeks after drug treatment and re bleeding was controlled, 1 cases (0.9%) within 1 weeks of bleeding again received two embolization; 77 cases (66.4%) without obvious complications (30.1%), 35 cases appeared facial pain, numbness, fever, trismus mild complications, 1 cases (0.9%) had facial skin necrosis and severe headache, 3 cases (2.6%) with cerebral embolism stroke symptoms. Conclusion according to different causes and responsibility to choose suitable vessels Embolic material, TAE surgery in the treatment of refractory and lethal oral nasal bleeding can effectively achieve hemostasis. The common postoperative complications after embolization syndrome, ischemia, peripheral circulation ischemia induced local necrosis, serious complications mainly for ectopic embolism caused by maxillofacial skin necrosis, cerebral infarction.

【作者单位】：苏州大学附属第一医院介入放射科;无锡市第三人民医院;
【分类号】：R459.7

【相似文献】