中国耳鼻咽喉头颈外科2016，Vol.23Issue(1)：19-22,4.DOI:10.16066/j.1672-7002.2016.01.007
Onyx胶栓塞治疗颌面部动静脉畸形的临床研究
Embolotherapy with Onyx for ma xillofacia l arteriovenous malformations
任伟超 1孙成建 1王彦华 1刘彤晖 1解玲玲 1王承恩1
作者信息
- 1. 青岛大学附属医院介入医学科，山东 青岛 266003
- 折叠
摘要
Abstract
OBJECTIVE To discuss the efficacy and safety of Onyx embolization for the treatment of maxillofacial arteriovenous malformation(mAVMs). METHODS Between February 2013 to May 2014, 16 patients with mAVMs received embolotherapy in our department. Eight cases' mAVMs located in mandibular region, 5 cases located in the maxillary region and the other 3 cases located near the orbital region. Embolotherapy with Onyx was carried out in all patients and all the patients were followed-up. The effect of embolization was evaluated according to the deformity arteriolar blood flow. RESULTS After the embolization, angiograpy showed that complete occlusion of mAVMs was achieved in 3 cases, 50%-90%occlusion in 10 cases, <50% occlusion in 3 cases, and the overall response rate was 81.25% (13/16). After operation, temporary decreased vision was obtained in one patient and recovered after 20 days, no permanent visual abnormality was found in all of the cases. Complications as distending pain, fever disappeared in 13 patients, improved in 2 patients and became worse in one patient. There was no case of skin necrosis occurred. Follow-up for 6 months after treatment, the deformity arteriolar blood flow larger than before was found in 2 cases and the others were stable. CONCLUSION Onyx embolization for the treatment of maxillofacial arteriovenous malformation is a safe and effective method, the short term curative effect has been confirmed while the long term curative effect should be further evaluated.关键词
动静脉畸形/栓塞,治疗性/颌面部/OnyxKey words
Arteriovenous Malformations/Embolization, Therapeutic/Maxillofacial/Onyx引用本文复制引用
任伟超,孙成建,王彦华,刘彤晖,解玲玲,王承恩..Onyx胶栓塞治疗颌面部动静脉畸形的临床研究[J].中国耳鼻咽喉头颈外科,2016,23(1):19-22,4.
