查詢結果分析
來源資料
相關文獻
- 口腔癌術後總頸動脈破裂致假性總頸動脈瘤--病例報告
- 以重症安寧理念照顧一位頸動脈爆裂口腔癌末期個案之加護經驗
- 使用經動脈氣球栓塞術治療內頸動脈創傷性剝離所導致之口鼻腔大量出血:一病例報告
- 創傷性內頸動脈假性動脈瘤併內頸動脈-海綿竇間瘻管導致遲發性鼻出血
- 淺談頸動脈爆裂症候群
- 頸動脈疾病的血管內治療
- 放射治療後之頸動脈爆裂症候群的血管內治療
- Distal Marginal Stenosis: A Contributing Factor in Delayed Carotid Occlusion of a Patient With Carotid Blowout Syndrome Treated With Stent Grafts
- 頭頸部癌症病患合併出血之血管內介入性治療
- 頸動脈爆裂症候群現今的治療策略
頁籤選單縮合
題 名 | 口腔癌術後總頸動脈破裂致假性總頸動脈瘤--病例報告=Pseudoaneurysm of Common Carotid Artery Due to Artery Rupture Post Operation in an Oral Cancer Patient--A Case Report |
---|---|
作 者 | 周廷韶; 梁慧隆; 梁錦榮; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 16:2 民94.09 |
頁 次 | 頁99-108 |
分類號 | 416.89 |
關鍵詞 | 口腔癌; 假性動脈瘤; 頸動脈; 血管內支架; 頸動脈爆裂; Oral cancer; Pseudoaneurysm; Carotid artery; Intravascular stent; Carotid blowout; |
語 文 | 中文(Chinese) |
中文摘要 | 頸動脈瘤一般來說並不普遍,而因頸動脈破裂形成假性動脈瘤更是少見。頸動脈破裂後會引起大量出血進而導致休克甚至死亡。本報告提出一口腔癌病患因左頸總頸動脈破裂而產生假性頸動脈瘤並成功地以血管內支架置入手術治療之案例。病患為59歲男性,曾於民國七十九年因左側頰黏膜口腔癌接受廣泛性腫瘤切除及頸部淋巴廓清術,術後並接受放射線治療,情況良好。及至民國九十二年初發生第二原發上顎齒齦癌,並接受切除手術,術後病理報告為梭狀細胞癌。三個月後腫瘤復發,於是進行更廣泛性切除並以胸大肌肌皮瓣修補口腔內缺損,術後情況良好。但於7月26日突然有發燒及呼吸困難情形,持續兩天,於是在7月28日到本科門診求診並住院。之後經電腦斷層檢查發現左總頸動脈分叉處之下,有一源自左總頸動脈大小約4.3×4×3公分的假性動脈瘤,經會診放射線科,安排進行血管內支架置入手術於頸動脈破裂處。術後血管攝影顯示假性動脈瘤已完全去除,病患亦無出現任何併發症,可見使用血管內支架是此種病症的理想治療方式。由於類似情況甚為少見,故提出可能發生之原因、治療原則及文獻回顧,以供大家參考。 |
英文摘要 | Pseudoaneurysm of common carotid artery is a rare critical condition. Rupture of carotid artery usually lead to massive bleeding that cause fatal hemorrhagic shock and even mortality. We report a case of pseudoaneurysm of left common carotid artery in an oral cancer patient. The patient is a 59 years old male who suffered from buccal mucosa carcinoma in 1990. He had received wide excision, radical neck dissection and postoperative radiotherapy at that time. Through out the whole course of postoperative period, he has regularly follow up in our OPD with no tumor recurrence or metastasis noted. Until January 2003, he suffered from second primary carcinoma of left upper gingiva and received wide excision again. Unfortunately, tumor recurrence was happened 3 months later. He was then received another wide excision with hemimaxillectomy and PMMCF repair. After operation, he was quite well until 28(superscript th) July, he visit our OPD again due to sudden onset of fever and dyspnea for two days. A swelling mass was palpated over left anterior region of trachea. Under the impression of tumor metastasis, he was arranged for admission and CT-scan examination. The CT-scan showed presence of an irregular saccular type pseudoaneurysm arising from left common carotid artery, below the level of bifurcation, size about 4.3 x 4 x 3cm. Correlate with clinical condition of fever, mycotic aneurysm should not be ruled out. Due to patient had received several times of surgery and radiotherapy over the neck, it was difficult to explore surgically to repair or ligating the artery. After consultation of radiologist and disscusion to the patient and his family, intravascular stenting therapy was performed. Post treatment CT-angiography shows complete obliteration of the rupture site with patency of the common carotid artery. It shows that carotid stenting is the treatment of choice for extracranial cervical carotid artery aneurysm. |
本系統中英文摘要資訊取自各篇刊載內容。