介入放射学杂志2023年2月第32卷第2期JInterventRadiol2023,Vol.32,No.2·临床研究Clinicalresearch·介入止血在鼻咽癌放疗后大出血治疗中的应用刘宇洲，孙林，向斌，谢勇，向华【摘要】目的探讨介入止血治疗鼻咽癌放疗后大出血的有效性和安全性。方法回顾性分析2015年至2021年湖南省人民医院收治的16例鼻咽癌放疗后大出血患者临床资料。9例患者接受颈外动脉分支栓塞术，2例接受单侧颈内动脉栓塞术，3例接受颈内动脉覆膜支架隔绝术，2例未接受介入止血治疗。结果14例患者介入止血治疗后13例为有效止血，1例止血失败。术后随访时间3d至71个月，其间患者均无再次出血，1例出现脑缺血症状后死亡。结论鼻咽癌放疗后大出血介入治疗可准确、迅速止血，但对于颈内动脉破裂出血需进一步改进术式，以减少并发症发生概率，提高患者生存率。【关键词】鼻咽癌；出血；介入栓塞；覆膜支架中图分类号：R739.63文献标志码：B文章编号:1008-794X（2023）-02-0145-04ApplicationofinterventionalhemostatictherapyinthetreatmentofmassivehemorrhageafterradiotherapyfornasopharyngealcarcinomaLIUYuzhou,SUNLin,XIANGBin,XIEYong,XIANGHua.DepartmentofInterventionalVascularSurgery,FirstAffiliatedHospitalofHunanNormalUniversity(HunanProvincialPeople'sHospital),Changsha,HunanProvince410005,ChinaCorrespondingauthor:XIANGHua,E-mail:vipxiangh@163.com【Abstract】ObjectiveToinvestigatetheefficacyandsafetyofinterventionalhemostatictherapyinthetreatmentofmassivehemorrhageafterradiotherapyfornasopharyngealcarcinoma.MethodsTheclinicaldataof16patientswithnasopharyngealcarcinoma,whodevelopedmassivehemorrhageafterreceivingradiotherapyattheHunanProvincialPeople'sHospitalofChinabetween2015and2021,wereretrospectivelyanalyzed.Ofthe16patients,9receivedexternalcarotidarteryembolization,2receivedunilateralinternalcarotidarteryembolization,3receivedinternalcarotidarteryisolationtherapywithcoveredstent,and2didn’treceiveinterventionalhemostatictherapy.ResultsAmongthe14patientswhoreceivedinterventionalhemostatictherapy,effectivehemostasiswasobtainedin13andfailuretostopbleedingwasseeninone.Aftertreatment,thepatientswerefollowedupfor3daysto71months.Duringthefollow-upperiod,norecurrenceofbleed...
