Abstract：
OBJECTIVE: To retrospectively analyze the comprehensive treatment strategy for internal carotid artery blowout syndrome (CBS) by nasopharyngeal carcinoma (NPC).
METHODS: Of the 311 patients of NPC with carotid artery blowout syndrome admitted at our center from April 2018 to August 2022, 288 were enrolled.
RESULTS: The patients were divided into two groups: treatment group (266 cases) and control group (22 cases). After comprehensive treatment, the survival rate of the treatment group was significantly higher than that of the control group, especially within 6 months to the 1 year. Preventive intervention for CBS I type may have considerable benefits. And in the long run, this treatment strategy did not significantly increase the incidence of stroke in the treatment group.
CONCLUSIONS: The comprehensive treatment strategy for ICA-CBS of patients with NPC significantly reduced the mortality of asphyxia due to epistaxis, reduced the incidence of CBS during nasal endoscopy, and finally improved survival rate.
METHODS: Of the 311 patients of NPC with carotid artery blowout syndrome admitted at our center from April 2018 to August 2022, 288 were enrolled.
RESULTS: The patients were divided into two groups: treatment group (266 cases) and control group (22 cases). After comprehensive treatment, the survival rate of the treatment group was significantly higher than that of the control group, especially within 6 months to the 1 year. Preventive intervention for CBS I type may have considerable benefits. And in the long run, this treatment strategy did not significantly increase the incidence of stroke in the treatment group.
CONCLUSIONS: The comprehensive treatment strategy for ICA-CBS of patients with NPC significantly reduced the mortality of asphyxia due to epistaxis, reduced the incidence of CBS during nasal endoscopy, and finally improved survival rate.
摘要：
目的：回顾性分析鼻咽癌(NPC)合并颈内动脉灌注综合征(CBS)的综合治疗策略。
方法：在我中心2018年4月至2022年8月收治的311例NPC伴颈动脉灌注综合征患者中，有288例入选。
结果：将患者分为治疗组（266例）和对照组（22例）。经过综合治疗,治疗组生存率明显高于对照组,特别是在6个月到1年内。CBSI型的预防性干预可能有相当大的好处。从长远来看，该治疗策略并未显著增加治疗组的卒中发生率.
结论：鼻咽癌患者ICA-CBS的综合治疗策略可显著降低鼻出血窒息的病死率，减少了鼻内窥镜检查期间CBS的发生率，最终提高了生存率。
方法：在我中心2018年4月至2022年8月收治的311例NPC伴颈动脉灌注综合征患者中，有288例入选。
结果：将患者分为治疗组（266例）和对照组（22例）。经过综合治疗,治疗组生存率明显高于对照组,特别是在6个月到1年内。CBSI型的预防性干预可能有相当大的好处。从长远来看，该治疗策略并未显著增加治疗组的卒中发生率.
结论：鼻咽癌患者ICA-CBS的综合治疗策略可显著降低鼻出血窒息的病死率，减少了鼻内窥镜检查期间CBS的发生率，最终提高了生存率。
