论文部分内容阅读
为探讨血管造影栓塞术治疗顽固性鼻出血的疗效,对8例经多次后鼻孔填塞失败的顽固性易出血患者,在荧光屏透视下行超选择血管栓塞术9次,全部栓塞成功,无一例出现严重并发症。表明血管栓塞术是一种安全、有效的止血方法,尤其对年长或伴有其它疾病的顽固性鼻出血患者,在保守治疗失败的情况下,该本式是治疗的最佳选择。同时认为,栓塞血管前行全脑血管造影、找到责任血管是止血成功的关键。排除血管之间的异常交通和变异,提高操作者技术的熟练程度和超选择栓塞是预防严重并发症的必要措施。
In order to explore the curative effect of angiography and embolization in the treatment of intractable epistaxis, 8 patients with refractory hemorrhage after multiple failed nasal packing were treated with superselective embolization 9 times under the fluoroscope fluoroscopy, all of them were successfully embolized Serious complications. Vascular embolization is a safe and effective method of hemostasis, especially for patients with refractory epistaxis who are elderly or with other diseases. This is the best choice for treatment in the event of failure of conservative treatment. At the same time, embolization of vascular anterior cerebral cerebrovascular angiography, to find the responsibility of blood vessels is the key to success. Eliminating abnormal traffic and variation between blood vessels, increasing skilled proficiency in the operator and superselective embolization are necessary measures to prevent serious complications.