引用本文:冯智博,崔旭东,梁敬常,王汉伟,余 雷.颈内动脉覆膜支架植入在鼻咽癌大出血中应用的临床疗效分析[J].中国临床新医学,2022,15(9):806-810.
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颈内动脉覆膜支架植入在鼻咽癌大出血中应用的临床疗效分析
冯智博,崔旭东,梁敬常,王汉伟,余 雷
530021 南宁,广西医学科学院·广西壮族自治区人民医院介入科
摘要:
[摘要] 目的 分析颈内动脉覆膜支架植入在鼻咽癌大出血中应用的临床疗效。方法 回顾性分析2014年5月至2022年8月该院收治的16例鼻咽癌合并大出血并接受覆膜支架植入治疗患者的临床资料,分析其临床特点、介入治疗方法及临床疗效。结果 16例鼻咽癌大出血患者中,治愈出院12例,术后再出血4例,死亡4例。1例出现小范围脑梗死;1例出现动眼神经麻痹,1个月后恢复。结论 鼻咽癌患者合并大出血时死亡率高,预后差。介入方法中颈内动脉、颈总动脉覆膜支架植入治疗具有较好的止血效果,安全有效,患者术后生活质量较好,远期疗效有待进一步研究。
关键词:  鼻咽癌  鼻出血  介入治疗  覆膜支架
DOI:10.3969/j.issn.1674-3806.2022.09.06
分类号:R 739.63
基金项目:
Analysis on the clinical effect of internal carotid artery covered stent implantation in application for massive hemorrhage of nasopharyngeal carcinoma
FENG Zhi-bo, CUI Xu-dong, LIANG Jing-chang, et al.
Department of General Interventional Radiology, Guangxi Academy of Medical Sciences and the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Objective To analyze the clinical effect of internal carotid artery covered stent implantation in application for massive hemorrhage of nasopharyngeal carcinoma. Methods The clinical data of 16 patients with nasopharyngeal carcinoma and massive hemorrhage who were admitted to the People′s Hospital of Guangxi Zhuang Autonomous Region from May 2014 to August 2022 and received interventional covered stent implantation were retrospectively analyzed. The patients′ clinical characteristics, interventional treatment methods and clinical efficacy were analyzed. Results Among the 16 patients with massive hemorrhage of nasopharyngeal carcinoma, twelve cases were cured and discharged from the hospital; four cases suffered from rebleeding after operation, and 4 cases died. One case had small-scale cerebral infarction; one case had oculomotor nerve palsy and recovered one month later. Conclusion Nasopharyngeal carcinoma patients complicated with massive hemorrhage have high mortality and poor prognosis. Among the interventional methods, the internal carotid artery and common carotid artery covered stent implantation has a better hemostatic effect. This interventional method is safe and effective, and the patients have a better quality of life after the operation. However, the long-term efficacy still needs to be further studied.
Key words:  Nasopharyngeal carcinoma  Epistaxis  Interventional therapy  Covered stent