颈内动脉栓塞术在鼻咽癌放射治疗后颈内动脉假性动脉瘤破裂出血中的应用OA
Application of internal carotid artery embolization in rupture and hemorrhage of internal carotid artery pseudoaneurysm after radiotherapy for nasopharyngeal carcinoma
放射治疗后鼻咽大出血是危及鼻咽癌患者生命的严重并发症,常由颈内动脉假性动脉瘤破裂引发,该并发症可导致较高的病死率.颈内动脉栓塞术(ICAE)能有效控制颈内动脉破裂所致的大出血,挽救患者生命,但临床应用时需要综合考虑适应证与潜在风险.本文围绕鼻咽癌放射治疗后颈内动脉假性动脉瘤破裂出血,总结ICAE在此类病例中的应用策略,分析其临床效果及安全性,并探讨该技术所面临的挑战及未来发展方向,旨在为临床处理此类危重情况时提供止血策略和治疗指导.
Massive hemorrhage after radiotherapy in nasopharyngeal carcinoma patients is a life-threatening serious complication,often triggered by the rupture of an internal carotid artery pseudoaneurysm,with high mortality.Internal carotid artery embolization(ICAE)can effectively control massive hemorrhage caused by internal carotid artery rupture and save patients'lives.However,indications and potential risks should be comprehensively considered in clinical application.This paper focuses on the rupture and hemorrhage of internal carotid artery pseudoaneurysm after radiotherapy for nasopharyngeal carcinoma,summarizes the application strategy of ICAE in such cases,analyzes its clinical effect and safety,and discusses the challenges and future development directions of this technique,aiming to provide hemostasis strategies and treatment guidance for clinical management of such critical situations.
崔旭东;冯智博;覃汉德;黄凯廷;余雷
广西壮族自治区人民医院介入血管外科,广西 南宁市 530021广西壮族自治区人民医院介入血管外科,广西 南宁市 530021广西壮族自治区人民医院介入血管外科,广西 南宁市 530021广西壮族自治区人民医院介入血管外科,广西 南宁市 530021广西壮族自治区人民医院介入血管外科,广西 南宁市 530021
医药卫生
颈内动脉栓塞术鼻咽癌大出血假性动脉瘤血管介入治疗综述
Internal carotid artery embolizationNasopharyngeal carcinomaMassive hemorrhagePseudoaneurysmVascular interventional therapyReview
《广西医学》 2026 (9)
1259-1265,7
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