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目的:探讨经微导管超选择性颈外动脉分支栓塞术在治疗难治性鼻出血中的应用价值。方法:46例难治性鼻出血患者,首选超选择性颈外动脉分支栓塞术者36例,首选颈外动脉结扎者10例。结果:36例首选颈外动脉分支栓塞术者1次性治愈32例(88.9%),10例首选颈外动脉结扎者1次性治愈4例(40.0%)。前者平均住院4.8d,后者平均住院10d。复发患者均经综合方法有效止血,并发症少。结论:经微导管超选择性颈外动脉分支栓塞术治疗难治性鼻出血简便、安全、有效,疗效明显优于颈外动脉结扎,综合运用多种方法能有效治疗难治性鼻出血。
Objective: To investigate the value of microcatheter superselective external carotid artery embolization in the treatment of intractable epistaxis. Methods: Forty-six patients with intractable epistaxis were enrolled in this study. 36 patients were the first choice of extra-selective external carotid artery embolization, and 10 patients preferred external carotid artery ligation. Results: Thirty - six cases (88.9%) were cured by one - off external fixation of external carotid artery and 4 cases (40.0%) were cured by ligation of 10 cases. The former average hospital 4.8d, the latter hospitalized an average of 10d. Recurrence patients were effectively stopped bleeding by an integrated approach, fewer complications. Conclusion: The treatment of intractable epistaxis with transcatheter arterial chemoembolization through the microcatheter is simple, safe and effective. The curative effect is obviously superior to the ligation of the external carotid artery. A variety of methods can effectively treat refractory epistaxis.