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报道采用超选择性动脉内栓塞术治疗两例口腔颌面部大型蔓状血管瘤的经验.例1的血管畸形涉及右侧耳颞腮腺区、颞下凹和颊部,在DSA监视下用430根3/0丝线线段先后分别栓塞了颞浅、颌内、颌外动脉,直到瘤区主要血管不显影。随访8个月无复发迹象。例2诊断为口底、颌下区复发性蔓状血管瘤,以往手术曾结扎了左侧颈外动脉。先用上法在DSA下栓塞有侧颌外和舌动脉,肿瘤缩小变软。术后2周肿瘤又复长大,遂在轴助性术前栓塞中对左侧椎动脉发出与颈外动脉系交通支的上、下段进行节段性双微球囊栓塞,成功后立即手术切除肿瘤,有效控制了术中出血,术后半年随访效果良好。
Reported the use of superselective arterial embolization in the treatment of two cases of oral and maxillofacial large-scale vascular hemangioma experience.Vascular malformations in Example 1 involving the right ear parotid gland area, infratemporal and buccal, with DSA monitoring with 430 Root 3/0 silk thread segments have been embolized the temporal superficial, maxillary, external malaria, until the tumor area of the main blood vessels are not developing. Follow-up 8 months no signs of recurrence. Case 2 was diagnosed as mouth, submandibular recurrence of vascular hemangioma, the past surgery has ligated the left external carotid artery. First with the law in the DSA embolization of the lateral jaw and tongue arteries, the tumor shrinks and softens. Two weeks after surgery, the tumor grew again and again. Then, the upper and lower segments of the left and right cervical vertebral arteries were dissected with segmental double micro-balloon embolization in the preoperative arterial embolization. Immediately after the successful operation, the tumor was resected , Effectively control the intraoperative bleeding, six months follow-up effect is good.