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| 題 名 | 鼻咽血管纖維瘤之手術治療=Surgical Treatment of Nasopharygeal Angiofibroma |
|---|---|
| 作 者 | 洪志旺; 蔡森田; | 書刊名 | 慈濟醫學 |
| 卷 期 | 12:1 2000.03[民89.03] |
| 頁 次 | 頁31-35 |
| 分類號 | 416.879 |
| 關鍵詞 | 鼻咽血管纖維瘤; 選擇性之經動脈栓塞; 內視鏡術; Nasopharyngeal angiofibroma; Selective transarterial embolization; Endoscopy; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 目的:收集於成大醫院耳鼻喉部 ,接受手術治療的9名鼻咽血管纖維 瘤的病患資料,提出我們對此疾病的治療經驗。材料與方法:本報告收集自1989 年到1998年,至成大醫院耳鼻喉部,接受治療的9個鼻咽血管纖維瘤病例。結 果:鼻咽血管纖維瘤為一良性血管腫瘤,好發於青春期男性,其中一例經染色體 檢查證實為罕見女性病例。8個病例採用術前血管攝影檢查和選擇性之經動脈栓 塞處置。其中無內頸動脈側枝循環的病例,手術平均失血量為850 mL而有內頸 動脈側枝循環的病例,其平均失血量為3000 mL。結論:顯示術前血管攝影檢查 中,內頸動脈側枝循環之有無與手術之失血量有極大關係。本報告有一例採用近 來較為新的內視鏡手術方式,其優點為避免傳統手術方式的後遺症,提供另一種 可行之手術方式的選擇。 |
| 英文摘要 | Objective: To share with others our clinical experience involving nasopharygeal angiofibroma. Materials and Methods: This study comprised nine patients with nasopharyngeal angiofibroma diagnosed and treated at National Cheng Kung University Hospital during the period from 1989 through 1998. Results: One of our cases was a rare female case with sex chromosome proof. Selective arterial embolization followed by surgical excision was performed in eight cases. The median estimated blood loss was 850 mL in the group without collateral circulation of the internal carotid artery but 3000 mL in the other group. Conventional routes of surgery were used for all the patients except one; that patient underwent transnasal endoscopy. Conclusion: Nasopharyngeal angiofibroma is an aggressively expansile vascular tumor, happening almost exclusively to pubescent males. One of the patients in our study was female with sex chromosome proof. Selective arterial embolization followed by surgical excision is the treatment of choice. Blood loss was obviously less in cases without collateral circulation of the internal carotid artery than in those with collateral circulation. The routes for removing nasopharyngeal angiofibromas documented in previous reports include lateral rhinotomy, transpalatal, sublabial degloving, transzygomatic, or combinations of these approaches. One of our patients was successfully treated using a transnasal endoscopic approach without complications. This proved that the transnasal endoscopic approach might be an alternative route for removing nasopharyngeal angiofibroma in selected cases. |
本系統中英文摘要資訊取自各篇刊載內容。