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目的探讨颌面部假性动脉瘤的特点及治疗方法,指导临床治疗。方法根据2008年1月~2013年6月沈阳医学院附属中心医院口腔科住院处收治的12例假性动脉瘤患者的临床资料,结合相关文献进行总结。结果所有患者切口均一期愈合,随访观察6~12个月,无复发病例。结论载瘤动脉结扎可很好地治疗口腔颌面部的假性动脉瘤,对于颈内动脉、颅底区血管的假性动脉瘤应根据病情采用超声引导下凝血酶注射法或覆膜支架法进行治疗。
Objective To investigate the characteristics and treatment of maxillofacial pseudoaneurysm and guide the clinical treatment. Methods According to the clinical data of 12 cases of pseudoaneurysm treated in Department of Stomatology, Shenyang Medical College Affiliated Central Hospital from January 2008 to June 2013, and the related literatures were summarized. Results All the incisions were healed one time and followed up for 6 to 12 months with no recurrence. Conclusion Carotid artery ligation can be a good treatment of oral and maxillofacial pseudoaneurysm, for the internal carotid artery, skull base area of the vessel pseudoaneurysm should be based on the disease under the guidance of ultrasound thrombin injection or stent-graft method For treatment.