[1]张 靖,周少毅,陈昆山,等.经导管动脉硬化栓塞联合注射硬化治疗婴儿颌面部巨大高流量血管瘤[J].介入放射学杂志,2011,(11):848-852.
　ZHANG Jing,ZHOU Shao-yi,CHEN Kun-shan,et al.Transcatheter arterial sclerosing embolization with injection sclerotherapy for the treatment of huge and high-flow maxillofacial hemangiomas in infants[J].journal interventional radiology,2011,(11):848-852.
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经导管动脉硬化栓塞联合注射硬化治疗婴儿颌面部巨大高流量血管瘤()

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

卷:
期数:
2011年11期
页码:
848-852
栏目:
血管介入
出版日期:
2011-11-25

文章信息/Info

Title:
Transcatheter arterial sclerosing embolization with injection sclerotherapy for the treatment of huge and high-flow maxillofacial hemangiomas in infants
作者:
张   靖;    周少毅;    陈昆山;    谢小斐;    李海波;    牛传强;    谭小云
510120 广州市妇女儿童医疗中心介入血管瘤科
Author(s):
ZHANG Jing;  ZHOU Shao-yi;  CHEN Kun-shan;  XIE Xiao-fei;  LI Hai-bo;  NIU Chuan-qiang;  TAN Xiao-yun.
Department of Interventional Radiology, Guangzhou Municipal Women and Children＇s Medical Center, Guangzhou 510120, China
关键词:
 ;  血管瘤;  栓塞;  治疗性;  聚乙烯乙醇;  博莱霉素碘油乳剂
分类号:
R543.7
文献标志码:
A
摘要:
【摘要】   目的   评价行经导管动脉硬化栓塞（ＴＡＳＥ）联合局部注射硬化（ＩＳ）治疗婴儿颌面部巨大血管瘤的疗效及安全性，并与单纯动脉硬化栓塞治疗比较。方法   收治３２例婴儿颌面部巨大血管瘤病例，行经股动脉插管血管瘤硬化栓塞治疗。血管瘤供血动脉插管，依次使用碘油博莱霉素乳剂及聚乙烯醇泡沫颗粒栓塞。术后２周对残余病灶行博莱霉素局部ＩＳ治疗。对照组２５例仅行单纯动脉硬化栓塞治疗。结果   ３２例共行ＴＡＳＥ术３５次，其中３例行２次。３２例术后共行博莱霉素ＩＳ治疗１１２次，每例行３ ～ ５次，平均３．５次。３２例中达治愈标准２５例（７８．１％），达显效标准７例（２１．９％），无效０例，显效率１００％，治疗结束后平均随访１３个月（６ ～ １６个月），无复发病例。单纯ＴＡＳＥ组２５例共行ＴＡＳＥ术３５次，每例行１　～　３次，平均１．４次。其中达治愈标准１９例（７６．０％），达显效标准６例（２４．０％）。ＴＡＳＥ ＋ ＩＳ组治疗次数较单纯ＴＡＳＥ组明显减少，差异有统计学意义（Ｐ　＝　０．０２０５）。两组间治疗效果差异无统计学意义（Ｐ ＝ ０．８４９５）。本组未出现肺栓塞、脑栓塞等严重并发症。结论   婴儿巨大血管瘤经导管动脉硬化栓塞治疗联合局部ＩＳ治疗具有创伤小、安全、疗效显著、大多数病例术后不留瘢痕等优点，可较单纯经导管动脉硬化栓塞治疗减少手术次数。

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备注/Memo

备注/Memo:
(收稿日期:2011-06-21)
广州市医药卫生基金资助（2006-YB-220）
更新日期/Last Update: