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目的:探讨超选择性血管栓塞后鼻内镜下鼻咽纤维血管瘤切除术的效果。方法:2002年8月～2011年8月在我科接受治疗的12例鼻咽纤维血管瘤患者,超选择性血管栓塞后在鼻内镜下行鼻咽纤维血管瘤切除术。结果:12例患者,其中颌内动脉分支供血10例,颌内动脉和咽升动脉分支供血2例,在导管超选择性栓塞后均顺利切除肿瘤。随访12～60个月,均未发现肿物残留及复发,术后鼻腔功能基本正常。结论:鼻咽纤维血管瘤经超选择性血管栓塞后,在鼻内镜下手术切除创伤小,出血量少,复发率低,手术适应证的合理选择及手术技巧是手术成功的保证。
Objective: To investigate the effect of endoscopic nasopharyngeal angiofibroma resection after selective vascular embolization. Methods: From August 2002 to August 2011, 12 patients with nasopharyngeal fibrovascular tumors who underwent treatment in our department underwent nasal endoscopic nasopharyngeal angiofibroma resection after super selective embolization. Results: Twelve patients, including 10 cases of submandibular artery blood supply, 2 cases of maxillary artery and pharyngeal ascending artery branch, were successfully resected after catheter superselective embolization. All patients were followed up for 12 to 60 months. No residual tumor and recurrence were observed. Nasal function was normal after operation. CONCLUSIONS: After selective endovascular embolization of nasopharyngeal fibro-hemangioma, surgical resection in nasal endoscope has the advantages of less trauma, less bleeding and low recurrence rate. The reasonable choice of surgical indications and surgical technique are the guarantees of successful operation.