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目的 研究颌面部血管性疾病的影像学诊断与治疗的临床意义。方法 对 1988年 8月至 2 0 0 0年7月的 12年间在我院就诊的 12例颌面深部血管性疾病的放射学检查及治疗效果进行评价。结果 12例均行 DSA造影检查。 7例经血管造影明确诊断后 ,即经导管作超选择性颈外动脉分支的栓塞治疗 ,其中 3例血管畸形的患者经永久性栓塞治疗治愈 ,随诊 3年无复发 ;2例经永久性栓塞治疗后均于 1年内复发 ,经再次栓塞及手术 ,病理证实为蔓状血管瘤 ;另 2例经栓塞治疗后 1周内行手术治疗 ,病理诊断亦为蔓状血管瘤。其余 5例造影后行手术治疗 ,病理诊断除 1例为海绵状血管瘤外 ,均为毛细血管瘤。结论 血管造影是颌面深部血管性病变的重要诊断手段 ;手术是颌面深部血管性疾病主要的治疗措施 ;颌面深部血管性疾病的完善治疗有赖于多种治疗方法的完美结合
Objective To study the clinical significance of imaging diagnosis and treatment of maxillofacial vascular diseases. Methods Radiological examination and therapeutic effect of 12 cases of maxillofacial deep vascular disease treated in our hospital during 12 years from August 1988 to July 2000 were evaluated. Results 12 cases underwent DSA angiography. 7 cases were diagnosed by angiography, that is, transcatheter arterial embolization of extra-selective external carotid artery. Among them, 3 cases of vascular malformations were cured by permanent embolization and were followed up for 3 years without recurrence; 2 cases were permanently After embolization were relapsed within 1 year, after re-embolization and surgery, the pathology confirmed as hemangiomas; the other 2 cases were treated by embolization within 1 week after surgery, the pathological diagnosis is also a hemangioma. The remaining 5 cases underwent surgery after angiography, in addition to a pathological diagnosis of cavernous hemangioma, are capillary hemangiomas. Conclusion Angiography is an important diagnostic tool for deep maxillofacial vascular lesions. Surgery is the main treatment for deep maxillofacial vascular diseases. The perfect treatment of deep maxillofacial vascular diseases depends on the perfect combination of various treatment methods