鼻咽癌放疗后颈内动脉假性动脉瘤破裂大出血临床介入治疗分析.docVIP

鼻咽癌放疗后颈内动脉假性动脉瘤破裂大出血临床介入治疗分析 　　【摘要】 目的：分析鼻咽癌放疗后颈内动脉假性动脉瘤破裂大出血的临床介入疗效。方法：回顾性分析2009年3月-2017年3月本院收治的鼻咽癌放疗后颈内动脉假性动脉瘤破裂大出血患者30例的临床资料，按照治疗方法不同分为对照组和观察组，每组各15例，对照组给予颈外动脉结扎止血治疗，观察组给予临床介入治疗，比较两组患者的临床疗效。结果：观察组临床总有效率为100%（15/15），明显高于对照组的73.33%（11/15），比较差异有统计学意义（P0.05）。结论：鼻咽癌放疗后颈内动脉假性动脉瘤破裂大出血临床介入治疗的疗效确切，具有较高的安全性，且有助于患者的颈动脉血液循环，减少其破裂出血的可能，值得临床推广实施。 　　【关键词】 鼻咽癌； 放疗； 后颈内动脉假性动脉瘤破裂大出血； 介入治疗 　　【Abstract】 Objective：To analyze the curative effect of interventional therapy of rupture and hemorrhage of internal carotid artery pseudoaneurysm after radiotherapy for nasopharyngeal carcinoma.Method：The clinical data of 30 cases with rupture and hemorrhage of internal carotid artery pseudoaneurysm after radiotherapy for nasopharyngeal carcinoma in our hospital from March 2009 to March 2017 were retrospectively analyzed，according to different treatment methods，they were divided into control group and observation group，15 cases in each group.The control group was treated with external carotid artery ligation and hemostasis，and observation group was given clinical interventional treatment.The clinical efficacy of two groups was compared.Result：The total effective rate of observation group was 100%（15/15），which was significantly higher than 73.33%（11/15） of control group，the difference was statistically significant（P0.05）.Conclusion：The clinical interventional treatment of rupture and hemorrhage of internal carotid artery pseudoaneurysm after radiotherapy for nasopharyngeal carcinoma has exact curative effect，with high safety，and can help patients with the carotid artery blood circulation，reduce the possibility of rupture and bleeding，worthy of clinical implementation. 　　【Key words】 Nasopharyngeal carcinoma； Radiotherapy； Posterior internal carotid artery pseudoaneurysm rupture hemorrhage； Interventional therapy 　　First-author’s address：The First People’s Hospital of Zhaoqing，Zhaoqing 526040，China 　　doi：10.3969/j.issn.1674-4985.2017.34.037 　　鼻咽癌是?R床常见和多发的病症，放射治疗是其临床主要方法，且5年存活率在半数以上。放疗后颈内动