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目的探讨鼻咽纤维血管瘤术前栓塞的临床价值。方法取右股动脉 Seldinger 技术穿刺插管,用5F-Corbra 导管分别插至左、右颈总动脉造影,显示右侧颌内动脉远端有一形态不规则的肿瘤染色,随用4F-单弯管超选至颌内动脉起始段,用明胶海绵颗粒/条栓塞。结果栓塞24 h 后进行肿瘤手术切除,收到了术中出血少、术野清楚、有利于病变切除和降低手术风险的效果,为彻底切除肿瘤创造了条件。结论数字减影血管造影及栓塞术在鼻咽部肿瘤术前有广泛的应用前景。
Objective To investigate the clinical value of preoperative embolization of nasopharyngeal hemangioma. Methods The right femoral artery Seldinger technique was used to puncture intubation and inserted into left and right common carotid artery using 5F-Corbra catheter respectively. There was an irregular shape of tumor in the distal right mandibular artery. With 4F- Superselective to the initial paragraph of the internal carotid artery, with gelatin sponge particles / Article embolization. Results The tumor was resected 24 hours after embolization, and received less intraoperative bleeding and a clear operative field, which was conducive to the resection of the lesion and the reduction of surgical risks, thus creating the conditions for radical resection of the tumor. Conclusion Digital subtraction angiography and embolization in nasopharyngeal carcinoma before surgery has a wide range of applications.