论文部分内容阅读
目的:探讨突出面颊部血管纤维瘤的诊断和治疗方法。方法:回顾性分析1994年1月至2003年10月间在我科接受治疗的5例血管纤维瘤患者临床资料。术前行单侧选择性动脉栓塞或术中控制性低血压麻醉,手术均经口内上颌窦径路。结果:5例患者手术顺利,术后病理诊断均为血管纤维瘤。术后经2～24月随访,5例患者均咬合良好,无肿瘤复发。结论: CT、MRI和IADSA联合检查对诊断有较大价值。术前IADSA加动脉内栓塞可大大减少术中出血。经上颌窦径路是处置侵入翼腭窝、颞下窝的巨大血管纤维瘤的较好手术进路之一。
Objective: To investigate the diagnosis and treatment of prominent cheek fibrovascular tumors. Methods: The clinical data of 5 patients with angiofibroma treated in our department from January 1994 to October 2003 were analyzed retrospectively. Preoperative unilateral selective arterial embolization or intraoperative controlled hypotensive anesthesia, surgery by oral maxillary sinus approach. Results: The operation of 5 patients was successful and the postoperative pathological diagnosis was angiofibroma. After 2 to 24 months of follow-up, 5 patients had a good occlusion, no tumor recurrence. Conclusion: CT, MRI and IADSA joint examination have great value in the diagnosis. Preoperative IADSA plus intra-arterial embolization can greatly reduce intraoperative bleeding. The maxillary sinus approach is the treatment of invasive pterygoptic fossa, infratemporal fossa of giant angiofibroma one of the better surgical approach.