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目的:为探讨鼻咽及鼻窦纤维血管瘤的术式及术中减少出血的方案.方法:介绍2例在鼻内窥镜下,应用DSA数字减影血管栓塞和控制性低血压,CO_2激光组合技术治疗的病例.结果:应用该技术治疗纤维血管瘤术中视野清晰,出血少,开放鼻窦尤其后组鼻窦较彻底,使瘤体在视野内彻底去处.结论:应用DSA数字减影血管栓塞和控制性低血压,C0_2激光组合技术治疗瘤体较为局限,未向鼻腔外侵犯的鼻咽及鼻窦纤维血管瘤,在熟练掌握鼻内窥镜手术技术的前提下可以达到去除肿瘤治愈疾病的目的.
Objective: To explore the surgical procedures and intraoperative hemorrhage of nasopharyngeal and fibrovascular tumors.Methods: Two cases of nasal endoscopic DSA digital subtraction angiography and controlled hypotension, CO 2 laser combination Technical treatment of the cases.Results: The application of the technology for the treatment of fibrovascular tumor surgery clear vision, less bleeding, open sinus especially after the group of sinus more thorough, the tumor completely in the field of vision.Conclusion: DSA digital subtraction angiography and Controlled hypotension, C0_2 laser combination technology for the treatment of tumor is more limited, not to the nasal cavity and nasal sinus fibrosioma violations, master the nasal endoscopic surgery under the premise of the tumor can be removed to cure the disease.