[1]张靖,徐宏文,周少毅,等.经导管动脉栓塞联合局部硬化治疗儿童四肢巨大血管瘤[J].介入放射学杂志,2010,(07):527.
 ZHANG Jing,XU Hongwen,ZHOU Shaoyi,et al.Transcatheter arterial embolization combined with local sclerotherapy for the treatment of giant hemangiomas of extremities in children[J].journal interventional radiology,2010,(07):527.
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经导管动脉栓塞联合局部硬化治疗儿童四肢巨大血管瘤()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年07期
页码:
527
栏目:
心脏介入
出版日期:
2010-07-15

文章信息/Info

Title:
Transcatheter arterial embolization combined with local sclerotherapy for the treatment of giant hemangiomas of extremities in children
作者:
张靖徐宏文周少毅
510120广州市妇女儿童医疗中心介入治疗科(张靖、周少毅、陈昆山、李海波、牛传强),骨科(徐宏文)
Author(s):
ZHANG JingXU Hong-wenZHOU Shao-yiLI Hai-boNIU Chuan-qiangCHEN Kun-shan.
Guangzhou Municipal Women and Children’s Hospital,Guangzhou510120,China
关键词:
血管瘤栓塞治疗性四肢硬化疗法
分类号:
R543.7
文献标志码:
A
摘要:
目的总结经导管动脉栓塞治疗儿童四肢巨大血管瘤的疗效及安全性。方法选择2005-2008年四肢高流量血管瘤连续病例72例。年龄3~30个月,平均(6.7±2.3)个月;体重为5.8~12.0kg,平均(6.52±1.86)kg。对72例高流量血管瘤行经股动脉插管动脉造影,对血管瘤供血动脉超选择性插管灌注博来霉素碘油乳剂,其中40例再加PVA栓塞。残余病灶再行博来霉素局部硬化注射治疗。结果72例高流量血管瘤中60例(83.3%)仅行动脉栓塞治疗,12例(16.7%)行动脉栓塞联合局部注射治疗。治疗后63例(87.5%)达治愈标准,9例(12.5%)好转,有效率100%。治疗结束后平均随访12.4个月,无复发病例。4例(5.6%)出现局部皮肤坏死,相应处理后好转。未出现肺栓塞、脑栓塞等严重并发症。结论经导管动脉栓塞联合局部注射治疗儿童四肢血管瘤疗效好、安全、大多无瘢痕、创伤小,值得临床推广

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备注/Memo

备注/Memo:
收稿日期:2009-12-14
更新日期/Last Update: 2010-07-15