放射治療後之頸動脈爆裂症候群的血管內治療

張豐基

《臨床醫學月刊》 78卷4期 (2016/10) Pp. 190-193

https://doi.org/10.6666/ClinMed.2016.78.4.002

摘要

臺灣是頭頸部癌症(head and neck cancers)的高盛行區，積極性治療頭頸部癌症可有效延長病患生命，但這些積極性治療，特別是放射治療，也可能合併放射治療後之頸動脈爆裂(postirradiatedcarotid blowout syndrome)的發生，進而影響整體治療的預後，我們建議以血管內介入治療方式對這類疾病予以早期治療，尤其血管內栓塞術(embolization)應比血管內覆膜支架置放術更優先使用，可有助於降低血管內治療的併發症及再出血率，進而提升整體頭頸部癌症患者的存活率。

關鍵字

放射治療後頸動脈爆裂症候群(post-irradiated carotid blowout syndrome) ； 頭頸部癌症(head and neck cancers) ； 栓塞術(embolization) ； 覆膜支架(stent-graft)

參考文獻

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