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目的 总结直接穿刺“静脉池”栓塞结合动脉血管内栓塞的“双介入法”治疗颌骨动静脉畸形的经验。方法 1 999年 1 0月～ 2 0 0 1年 1 1月收治的颌骨动静脉畸形 7例 ,行永久性栓塞治疗。采用的栓塞材料为附凝血棉纤毛的螺圈和聚乙烯醇泡沫微粒。数字减影的颈动脉造影在PHILIPSV30 0 0下完成。结果 7例颌骨动静脉畸形中 4例急性出血得到了快速、有效控制。 3例慢性渗血的颌骨动静脉畸形介入栓塞治疗后 ,有效地控制了渗血。栓塞后分别随访 3～ 2 4个月 ,均未发现有口腔内渗血或出血。在随访的X线片上 ,病灶区内可见新骨形成。结论 “双介入法”栓塞治疗颌骨动静脉畸形是一种安全、有效的治疗方法
Objective To summarize the experience of using the “double interventional method” for directly puncturing the “venous pool” embolization and arterial endovascular embolization in the treatment of maxillary arteriovenous malformations. Method1 From January 1999 to January 2010, 7 cases of maxillary arteriovenous malformations were treated with permanent embolization. The embolic material used was a coil of coagulated cilia and polyvinyl alcohol foam particles. Digital subtraction of the carotid artery angiography done under PHILIPSV30 0 0. Results The acute bleeding in 4 cases of acute and maxillary arteries in 7 cases was rapidly and effectively controlled. Three cases of chronic osmotic jugular arteriovenous malformations after interventional embolization, effectively control the bleeding. After embolization were followed up for 3 to 24 months, no oral bleeding or bleeding were found. In the follow-up of X-ray film, the lesion area visible new bone formation. Conclusions “Double intervention” embolization for the treatment of jaw AVM is a safe and effective treatment