DSA引导下经皮硬化术治疗儿童头颈部静脉畸形的临床价值

发布时间：2018-05-15 23:25

本文选题：静脉畸形 + 无水乙醇　；参考：《放射学实践》2015年02期

【摘要】：目的:探讨DSA引导下经皮硬化术治疗儿童头颈部静脉畸形的临床价值。方法:回顾性分析2009年1月-2013年12月我院收治的72例头颈部静脉畸形患儿的临床资料。所有患儿均行DSA引导下经皮硬化术治疗,根据瘤径采用分次、多种硬化剂联合治疗方法。较小的单发静脉畸形仅用无水乙醇治疗,而较大、多发静脉畸形联合应用聚桂醇治疗。末次治疗结束后行MRI检查评定疗效。结果:72例患儿进行2~6次治疗。42例治愈,21例显效,9例有效。随访(3个月~2年)均未发现静脉畸形复发。不良反应:2例皮肤破溃、坏死;4例表浅皮肤破溃,愈后无瘢痕;3例出现暂时性周围神经麻痹。结论:DSA引导下经皮硬化术是治疗儿童头颈部静脉畸形的有效方法。多种硬化剂联合、分次硬化治疗的原则有利于减少并发症和提高疗效。
[Abstract]:Objective: To investigate the clinical value of DSA guided percutaneous sclerotherapy in the treatment of children's head and neck venous malformation. Methods: a retrospective analysis of the clinical data of 72 cases of head and neck venous malformation in our hospital in December January 2009. All the children were treated by DSA guided percutaneous sclerosing, using multiple sclerosing agents according to the diameter of the tumor, combined with various sclerosing agents. Treatment. The smaller single venous malformation was treated with anhydrous ethanol only, and larger, multiple venous malformations were combined with polyol. After the end of the last treatment, the MRI examination was performed to evaluate the efficacy. Results: 72 cases were treated with 2~6 for.42 cases, 21 cases were markedly effective and 9 cases were effective. No venous malformation recurrence was found in the follow-up (3 months ~2 years). Side effects were not found. 2 cases of skin rupture and necrosis, 4 cases of superficial skin rupture, less scar and 3 cases of temporary peripheral nerve paralysis. Conclusion: DSA guided percutaneous sclerosing is an effective method for the treatment of children's head and neck venous malformation. The principle of combination of various sclerosing agents and sub sclerosing therapy is beneficial to reduce complications and improve the curative effect.

【作者单位】：湖南省儿童医院放射科;广州妇女儿童医疗中心介入科;
【基金】：湖南省科技厅基金项目项目(2013SK3219)
【分类号】：R743.4

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