颌骨动静脉畸形的栓塞治疗

目的：总结直接穿刺结合经血管内介入栓塞治疗颌骨动静脉静脉畸形的经验。方法：收治凳骨动静脉畸形患者6例，均进行了介入栓塞治疗。采用的栓塞材料为附凝血棉纤毛的螺圈，聚乙烯醇泡沫微粒和二氰基丙烯酸对丁酯。数字减影颈动脉造影在PHILIPSV300下完成。结果6例颌骨动静脉畸形患者中4，例急性出血得到了快速、有效控制，1例慢性渗血的右下 骨动静脉畸形患者，介入栓塞治疗，拔除松动的右下凳第一磨牙，有效地控制了出血，另1例伴局部软组织搏动性膨隆的上凳骨动静脉畸形患者，介入治疗后膨隆的搏动性得到明显改善，栓塞治疗后分别随访3－24个月，均未发现有口腔内渗血或出血。随访的X线片上，病灶区可见新骨形成。结论：局部穿刺结合经血管内介入栓塞治疗颌骨动静畸形是一种安全、有效的治疗方法。

Embolization of AVM of Jaws

Objective To report our experience to embolize the AVM of jaws by direct percutaneous puncture. in conjunction with endovascular therapy Methods 3 cases of AVM of mandible and 3 cases of AVM of maxilla comprised this study group. The patients were embolized with fibered coils, PVA and NBCA. The coils were placed directly into the center of the intraosseous lesion. The procedure was under the guidance of DSA machine (PHILIPS V3000). Results The acute arterial bleeding in 4 patients was controllable. The other two cases with oozing bleeding and a warm soft mass on the left face with a palpable pulse respectively, their symotoms and signs got improved a lot. The pericoronal oozing of blood in all patients disappeared during a 3 to 24 months follow up and new bone formation was found in the follow up radiography. Conclusion The embolization of the AVM of jaws by direct percutaneous puncture in conjunction with endovascular therapy is effective and safe, however the longer follow up is expected.