术前栓塞鼻咽纤维血管瘤的疗效分析theefficacy.pdfVIP

Medical Diagnosis 医学诊断, 2015, 5(3), 44-46 Published Online September 2015 in Hans. /journal/md /10.12677/md.2015.53009 The Efficacy of Pre-Surgical Embolization of Nasopharyngeal Angiofibroma 1 1 1 2* Chuanjun Wei , Dan Ye , Jie Pang , Xinmin Li 1 Department of Interventional Radiology, PLA 71217 Hospital, Laiyang Shandong 2 Interventional Center of PLA 456 Hospital, Jinan Shandong * Email: lixinmin@163.com th rd th Received: Sept. 5 , 2015; accepted: Step. 23 , 2015; published: Sept. 29 , 2015 Copyright © 2015 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract Objective: To investigate the clinical efficacy of pre-surgical embolization of nasopharyngeal angi- ofibroma. Methods: Using Seldinger technique, 12 cases with nasopharyngeal angiofibroma under- went superselective feeding arteries emboilization, and then 1 - 3 days later, the angiofibroma was cut. The intraoperative blood loss was recorded. Results: For the 12 cases, 9 cases of nasopharyngeal angiofibroma were supplied by single-side internal maxillary artery, and 1 case combined with as- cending pharyngeal artery, the bilateral internal axillary artery was in 2 patients, and the same lat- eral axillary artery and the branches of the internal carotid artery was in 1 patient. No serious com- plication happened after embolization. After thrombosis, in 11 cases underwent complete surgical resection, 1 case was of resection to staging surgery. All lesions were radical removed. The average intraoperative blood loss was 380 ml. C