CAJ | 학술논문

目的：探讨经导管颌内动脉、颌外动脉栓塞术在急性顽固性鼻出血治疗中的临床应用价值。方法自2003年1月～2014年3月，我科采用介入断流术治疗急性顽固性鼻衄患者28例。证实出血部位后用明胶海绵颗粒和PVA栓塞出血动脉，栓塞后立即抽出鼻腔填塞物观察出血是否停止。结果28例患者超选择插管造影、出血动脉栓塞成功。结论经导管超选择颌内动脉、颌外动脉造影栓塞术治疗顽固性鼻腔出血操作简单、创伤小、止血效果肯定，尤其在急诊止血方面更具有临床应用价值。
목적：탐토경도관합내동맥、합외동맥전새술재급성완고성비출혈치료중적림상응용개치。방법자2003년1월～2014년3월，아과채용개입단류술치료급성완고성비뉵환자28례。증실출혈부위후용명효해면과립화PVA전새출혈동맥，전새후립즉추출비강전새물관찰출혈시부정지。결과28례환자초선택삽관조영、출혈동맥전새성공。결론경도관초선택합내동맥、합외동맥조영전새술치료완고성비강출혈조작간단、창상소、지혈효과긍정，우기재급진지혈방면경구유림상응용개치。
Objective To investigate the transcatheter internal maxillary artery, facial artery embolization in the treatment of acute clinical application value of intractable epistaxis. MethodsFrom 2003 January to 2014 March, my branch uses the disconnection in 28 patients with acute intractable epistaxis treatment intervention. Confirm the bleeding points with gelatin sponge particles and PVA embolization, embolization immediately after extraction of nasal packing is to stop bleeding.Results28 cases of patients with superselective angiography, arterial embolization success.ConclusionTranscatheter superselective internal maxillary artery, external maxillary artery embolization for the treatment of intractable epistaxis has the advantages of simple operation, small trauma, hemostatic effect is positive, particularly has the value of clinical application in emergency bleeding.