[1]李海波,张 靖,申 刚,等. 儿童静脉畸形硬化治疗方法选择与技术[J].介入放射学杂志,2014,(04):292-295.
 LI Hai? bo,ZHANG Jing,SHEN Gang,et al. Sclerotherapy of venous malformation in children: selection of method and its technique[J].journal interventional radiology,2014,(04):292-295.
点击复制

 

儿童静脉畸形硬化治疗方法选择与技术

()

PDF下载中关闭

分享到:

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

卷:
期数:
2014年04期
页码:
292-295
栏目:
血管介入
出版日期:
2014-04-29

文章信息/Info

Title:
 Sclerotherapy of venous malformation in children: selection of method and its technique
作者:
 

李海波 张 靖 申 刚 周少毅 陈昆山 刘 浪 牛传强

谭小云 蒋贻洲 林雀卿 姜 华

Author(s):
 LI Hai?蛳 bo ZHANG Jing SHEN Gang ZHOU Shao?蛳 yi CHEN Kun?蛳 shan LIU Lang NIU Chuan?蛳 qiang TAN Xiao?蛳 yun JIANG Yi?蛳 zhou LIN Que?蛳 qing JIANG Hua.
 

Department of Intervention and Hemangioma, Guangzhou Municipal Women and Children’s Medical Center, Guangzhou, Guangdong Province 510120, China

关键词:
 

【关键词】 静脉畸形 硬化治疗 栓塞 儿童

文献标志码:
A
摘要:
 

【摘要】 目的 探讨硬化治疗儿童静脉畸形的临床疗效及相关硬化剂选择原则。方法 2008年6月—2013年4月对357例静脉畸形患儿进行全麻下介入硬化治疗。治疗前根据瘤体造影表现和Puig分型,按血流速度及回流静脉类型选择硬化剂。术后随访6 ~ 24个月,平均15个月,对患者疗效按治愈、基本治愈、有效、无效进行评估,并统计有效率和不良事件发生率。结果 357例患儿成功进行硬化治疗。随访期发现174例治愈,82例基本治愈,80例有效,总有效率为94%。不良反应有短暂的视力障碍6例,皮肤破溃14例,瘤体肿胀39例,肌肉纤维化2例,并发脑梗死1例,肌肉萎缩3例。结论 硬化栓塞治疗儿童静脉畸形是一种有效的治疗方法,根据瘤体分型选择合适的硬化剂和治疗终点至关重要。

参考文献/References:

 

[1] Schumacher M, Dupuy P, Bartoli JM, et al. Treatment of venous malformations: first experience with a new sclerosing agent—a multicenter study[J]. Eur J Radiol, 2011, 80: e366 ?蛳 e372.

[2] Miyazaki H, Ohshiro T, Watanabe H, et al. Ultrasound?蛳 guided intralesional laser treatment of venous malformation in the oral cavity[J]. Int J Oral Maxillofac Surg, 2013, 42: 281 ?蛳 287.

[3] 张 靖, 李海波, 周少毅, 等. 儿童静脉畸形介入治疗硬化剂无水乙醇与平阳霉素效果的对比研究[J]. 中华放射学杂志, 2012, 46: 350 ?蛳 353.

[4] Lidsky ME, Markovic JN, Miller MJ Jr, et al. Analysis of the treatment of congenital vascular malformations using a multidisciplinary approach[J]. J Vasc Surg, 2012, 56: 1355 ?蛳 1362; discussion 1362.

[5] Lambot?蛳 Juhan K, Pannier S, Grévent D, et al. Primary aneurysmal bone cysts in children: percutaneous sclerotherapy with absolute alcohol and proposal of a vascular classification[J]. Pediatr Radiol, 2012, 42: 599 ?蛳 605.

[6] Zhang J, Li HB, Zhou SY, et al. Comparison between absolute ethanol and bleomycin for the treatment of venous malformation in children[J]. Exp Ther Med, 2013, 6: 305 ?蛳 309.

[7] 李 龙, 李彦豪, 曾欣巧, 等. X线透视引导下下肢静脉曲张泡沫硬化治疗的技术方法和疗效观察[J]. 中华放射学杂志, 2010, 44: 1180 ?蛳 1184.

[8] Puig S, Aref H, Chigot V, et al. Classification of venous malformations in children and implications for sclerotherapy[J]. Pediatr Radiol, 2003, 33: 99 ?蛳 103.

[9] Do YS, Yakes WF, Shin SW, et al. Ethanol embolization of arteriovenous malformations: interim results[J]. Radiology, 2005, 235: 674 ?蛳 682.

[10] 李海波, 张 靖, 周少毅, 等. DSA引导下泡沫硬化剂治疗儿童静脉畸形的临床观察[J]. 介入放射学杂志, 2013, 22: 738 ?蛳 741.

[11] Lee IH, Kim KH, Jeon P, et al. Ethanol sclerotherapy for the management of craniofacial venous malformations: the interim results[J]. Korean J Radiol, 2009, 10: 269 ?蛳 276.

[12] Rabe E, Pannier F. Sclerotherapy in venous malformation[J]. Phlebology, 2013, 28: 188 ?蛳 191.

[13] Aboelatta YA, Nagy E, Shaker M, et al. Venous malformations of the head and neck: A diagnostic approach and a proposed management approach based on clinical, radiological, and histopathology findings[J]. Head Neck, 2013: doi: 10.1002/hed.23407. [Epub ahead of print].

相似文献/References:

[1]张 琳,黄学全,王健,等.自主研发电化学治疗同轴电极与传统针式电极电解效应的对比研究[J].介入放射学杂志,2012,(02):148.
 ZHANG Lin,HUANG Xue-quan,WANG Jian,et al.The electrolytic effect in electrochemotherapy: a comparative study between self-prepared coaxial electrode and conventional needle electrode[J].journal interventional radiology,2012,(04):148.
[2]赵 玮,王伟中,陈莹,等.耳部动静脉畸形供血动脉的血管造影研究[J].介入放射学杂志,2012,(02):103.
 ZHAO Wei,WANG Wei-zhong,CHEN Ying,et al.Angiographic findings of the feeding arteries of auricular arteriovenous malformations[J].journal interventional radiology,2012,(04):103.
[3]邹俊民,龙世娟,张振明. 改良髂内动脉化疗联合放疗治疗Ⅲ~Ⅳa期 子宫颈癌32例[J].介入放射学杂志,2012,(02):123.
 ZOU Jun-min,LONG Shi-Juan,ZHANG Zheng-ming..Improved internal iliac artery chemotherapy combined with radiotherapy for the treatment of stage Ⅲ-Ⅳa cervical cancers[J].journal interventional radiology,2012,(04):123.
[4]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(04):136.
[5]赵玉峰,孙玉琴,韩晓静,等. 输卵管介入再通术后受孕时机的研究[J].介入放射学杂志,2012,(02):158.
 ZHAO Yu-feng,SUN Yu-qin,HAN Xiao-jing,et al.The optimal time for conception after fallopian tube recanalization therapy[J].journal interventional radiology,2012,(04):158.
[6]含 笑,曹建民,史东宏,等.吉西他滨、顺铂动静脉联合化疗治疗晚期非小细胞肺癌的近期疗效分析[J].介入放射学杂志,2012,(02):119.
 HAN Xiao,CAO Jian-min,SHI Dong-hong,et al.Bronchial artery infusion of Gemcitabine and Cisplatin combined with systemic chemotherapy for advanced non-small cell lung cancer: its short-term efficacy[J].journal interventional radiology,2012,(04):119.
[7]姚雪松,李 槐.不可手术切除的肝细胞癌的疗效评价标准——改良RECIST标准更可靠[J].介入放射学杂志,2012,(03):177.
 . Therapeutic evaluation criterion of inoperable hepatocellular carcinomas: modified RECIST as a more reliable standard[J].journal interventional radiology,2012,(04):177.
[8]齐 立,李慎茂,俸军林,等. 动脉溶栓与机械碎栓联合动脉溶栓的对比分析[J].介入放射学杂志,2012,(03):180.
 ,,et al. Comparison of the therapeutic efficacy between simple arterial thrombolysis and mechanical thrombectomy combined with arterial thrombolysis for acute cerebral infarction at its ultraearly stage[J].journal interventional radiology,2012,(04):180.
[9]石 潆,赵 卫,沈 进,等.脑动静脉畸形栓塞治疗术并发颅内出血的原因及处理[J].介入放射学杂志,2012,(03):185.
 ,,et al.Intracranial hemorrhage due to embolization therapy for cerebral arteriovenous malformation: its causes and management [J].journal interventional radiology,2012,(04):185.
[10]周 慷,李晓光,金征宇,等.清宫术前子宫动脉化疗栓塞术治疗瘢痕妊娠的疗效分析[J].介入放射学杂志,2012,(03):190.
 ,,et al.Therapeutic analysis of bilateral uterine artery chemoembolization performed before uterine dilation and curettage for cesarean scar pregnancy [J].journal interventional radiology,2012,(04):190.

备注/Memo

备注/Memo:
 收稿日期:2013-11-23
更新日期/Last Update: