目的　探讨选择性动脉栓塞和经皮注射平阳霉素治疗颌部血管瘤的治疗效果。方法　对颌面部蔓状血管瘤 6例 ,海绵状血管瘤 3例 ,经皮股动脉穿刺插管行选择性左、右颈外动脉造影及选择性动脉栓塞治疗 ,栓塞的血管分别有颈外动脉远端 ,颌内动脉及面动脉等。术后 1天、7天和半月经皮向瘤体内注射平阳霉素 ,每次8mg。结果　栓塞和局部注射 1年后复查 ,总有效率为77.8% ,表现为病例瘤体明显缩小、变硬 ,其中 2例海绵状血管瘤效果欠佳。颌面部蔓状血管瘤治疗有效率 10 0 % ( 6 / 6 ) ,海绵状血管瘤有效仅为 33 .3 % ( 1/ 3)。所有病例均无严重并发症。结论　颈外动脉栓塞术结合经皮注射平阳霉素治疗颌面部蔓状血管瘤效果显著 ,但对海绵状血管瘤效果不佳 Objective To investigate the therapeutic effect of selective arterial embolization and percutaneous injection of pingyangmycin in the treatment of maxillary hemangiomas. Methods Six cases of maxillofacial hemangiomas, three cases of cavernous hemangioma, percutaneous femoral artery puncture and intubation were performed selective left and right external carotid artery angiography and selective arterial embolization. The embolized vessels were ectocervical Distal artery, maxillary artery and facial artery. 1 day after surgery, 7 days and half a month to the tumor percutaneous injection of pingyangmycin, each 8mg. Results Embolism and local injection 1 year after the review, the total effective rate was 77.8%, the performance of the tumor was significantly reduced and hardened, of which 2 cases of cavernous hemangiomas ineffective. Maxillofacial hemangioma treatment efficiency was 100% (6/6), cavernous hemangiomas effective only 33.3% (1/3). No serious complications in all cases. Conclusion External carotid artery embolization combined with percutaneous injection of pingyangmycin is effective in treatment of maxillofacial hemangiomas, but not in cavernous hemangiomas