Bài viết mô tả đặc điểm hình ảnh tổn thương mạch máu trên DSA và đánh giá hiệu quả nút mạch trong điều trị các tổn thương mạch máu trong chấn thương hàm mặt. Đối tượng và phương pháp nghiên cứu: 44 BN chảy máu hàm mặt do chấn thương không đáp ứng với các biện pháp cầm máu tại chỗ được chụp và nút mạch từ tháng 4 năm 2011 đến tháng 9 năm 2015. | ĐÁNH GIÁ HIỆU QUẢ NÚT MẠCH ĐIỀU TRỊ NGHIÊN CỨU KHOA HỌC CHẢY MÁU HÀM MẶT DO CHẤN THƯƠNG SCIENTIFIC RESEARCH Evaluation the effectiveness of arterial embolization in the treatment of maxillofacial trauma Phan Nhân Hiển Dư Đức Thiện Lê Thanh Dũng Nguyễn Đình Minh SUMMARY Purpose This study was designed to characterize image of vascular lesions on DSA and evaluate the effectiveness of arterial embolization in the treatment of maxillofacial trauma. Materials and Methods 44 patients with bleeding after jaw injury did not meet with the local hemostatic measures who were taken to the angiography for embolization from April 2011 to September 2015. Results of the internal carotid artery injury with of dissection and of carotid-cavernous sinus fistula. 90 1 of the external carotid artery injury the internal maxillary artery is the most vulnerable in that the maxillary artery injury merely in or combination in . The external carotid artery injury of a side in of two side. Active bleeding is the most common of injury morphology 88 6 6 with merely and associated with other forms 25 pseudoaneurysms arteriovenous malformation the internal carotid artery injury pseudoaneurysm merely is a rare lesions in . Hystoacryl is the most common embolization material of Hystoacryl merely and coordinate . PVA embolization merely in Spongel in no circumstances used to try Coil. Technical success was failed. Successful hemostasis was achieved in after the first intervention and 100 after 2nd intervention. Clinical success was achieved in . Clinical non-success included 7 patients died of severe traumatic brain injury and 2 patients had complications including 1 patient with face necrosis and 1 patient with tongue necrosis. Conclusion Arterial Embolization in the Treatment of Maxillofacial Trauma was effective and quick to control bleeding. Keywords bleeding maxillofacial trauma Embolization. .
