[1]丁?语,侯广军,范新东.无水乙醇联合泡沫硬化剂治疗直肠静脉畸形效果和安全性分析[J].介入放射学杂志,2020,29(02):145-148.
 DING Yu,HOU Guangjun,FAN Xindong..Injection of ethanol combined with foam hardening agent for the treatment of rectal venous malformation: analysis of curative effect and safety[J].journal interventional radiology,2020,29(02):145-148.
点击复制

无水乙醇联合泡沫硬化剂治疗直肠静脉畸形效果和安全性分析()

PDF下载中关闭

分享到:

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

卷:
29
期数:
2020年02
页码:
145-148
栏目:
血管介入
出版日期:
2020-03-14

文章信息/Info

Title:
Injection of ethanol combined with foam hardening agent for the treatment of rectal venous malformation: analysis of curative effect and safety
作者:
丁?语侯广军范新东
Author(s):
DING Yu HOU Guangjun FAN Xindong.
Department of Burn and Plastic Surgery, Affiliated Children’s Hospital, Zhengzhou University, Zhengzhou, Henan Province 450018, China
关键词:
【关键词】 无水乙醇泡沫硬化剂直肠静脉畸形肛周静脉扩张儿童痔
文献标志码:
A
摘要:
【摘要】 目的?探讨无水乙醇联合泡沫硬化剂治疗直肠静脉畸形(VM)的安全性和有效性。
方法?回顾性分析2017年10月至2018年5月收治的5例出血性直肠VM患儿,根据Puig分型选择经皮硬化治疗。术后随访观察有效性、不良反应和并发症。结果?5例患儿均为PuigⅡ、Ⅲ型,接受无水乙醇联合泡沫硬化剂治疗共10次(1~3次)。无水乙醇单次应用平均剂量(0.11±0.05)mL/kg,3%聚多卡醇单次应用平均剂量(2.35±0.94) mL。术后2例治愈,2例基本治愈,1例有效,有效率为100%。随访12~18个月,患儿未再有便秘或出血情况,无皮肤坏死或严重心肺系统并发症。结论?根据Puig分型采用无水乙醇联用泡沫硬化剂治疗直肠VM,可降低无水乙醇用量,提高治疗安全性,增加疗效。

参考文献/References:

[1] 金?龙, 邹英华, 佟小强, 等.头颈部静脉畸形的经皮硬化治疗[J].中国医学影像技术, 2003, 19:1554-1556.
[2] 许嘉川, 罗春芬, 黎胜苗, 等.注射治疗重症肛周静脉曲张的临床疗效和安全性分析[J].中华小儿外科杂志, 2018, 39:936-937.
[3] Puig S, Casati B, Staudenherz A, et al.Vascular low-flow malforma-tions in children: current concepts for classification,diagnosis and therapy[J]. Eur J Radiol, 2005, 53: 35-45.
[4] Cavezzi A, Tessari L. Foam sclerotherapy techniques: different gases and methods of preparation, catheter versus direct injection[J]. Phlebology, 2009, 24: 247-251.
[5] 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, 46:350-353.
[6] Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification based on endothelial characteristics[J]. Plast Reconstr Surg, 1982, 69: 412-422.
[7] Wassef M, Blei F, Adams D, et al. Vascular anomalies classification: recommendations from the international society for the study of vascular anomalies[J]. Pediatrics, 2015, 136: E203-E214.
[8] Dasgupta R, Fishman SJ. ISSVA classification[J]. Semin Pediatr Surg, 2014, 23: 158-161.
[9] Annam A. Female pelvic vascular malformations[J]. Semin Intervent Radiol, 2018, 35: 62-68.
[10] 国际血管联盟中国分部血管畸形专家委员会.静脉畸形中国专家共识[J].介入放射学杂志, 2019, 28:307-311.
[11] Richter GT, Braswell L. Management of venous malformations[J]. Facial Plast Surg, 2012, 28: 603-610.
[12] Kim B, Kim K, Jeon P, et al. Long-term results of ethanol sclerotherapy with or without adjunctive surgery for head and neck arteriovenous malformations[J]. Neuroradiology, 2015, 57: 377-386.
[13] Wang D, Su LX, Han Y, et al. Direct intralesional ethanol sclerotherapy of extensive venous malformations with oropharyngeal involvement after a temporary tracheotomy in the head and neck: initial results[J]. Head Neck, 2017, 39: 288-296.
[14] 曾德筠, 廖良忠, 杨维竹.硬化剂治疗头颈部静脉畸形临床疗效及作用机制研究[J].介入放射学杂志, 2016, 25:1049-1053.

相似文献/References:

[1]王德明,苏立新,范新东.无水乙醇栓塞治疗血管畸形对心肺功能影响的研究进展[J].介入放射学杂志,2015,(09):826.
 WANG De- ming,SU Li- xin,FAN Xin- dong.The effect of ethanol embolization for vascular malformations on cardiopulmonary function: recent progress in research[J].journal interventional radiology,2015,(02):826.
[2]牛传强,张 靖,刘珍银,等.经皮无水乙醇栓塞治疗儿童足部动静脉畸形11例 [J].介入放射学杂志,2017,(05):394.
 NIU Chuanqiang,ZHANG Jing,LIU Zhenyin,et al.Percutaneous ethanol embolization for the treatment of arteriovenous malformation of foot in children: preliminary results of 11 cases[J].journal interventional radiology,2017,(02):394.
[3]丁 语,王梦宇,靳三丁,等.无水乙醇和泡沫硬化剂治疗儿童四肢静脉畸形的体会[J].介入放射学杂志,2019,28(10):938.
 DING Yu,WANG Mengyu,JIN Sanding,et al.Ethanol combined with foam hardening agent for venous malformation of extremities in child patients: preliminary experience[J].journal interventional radiology,2019,28(02):938.
[4]赵 磊,丁 语,徐伟洋,等.无水乙醇、泡沫硬化剂治疗儿童大型静脉畸形的疗效比较[J].介入放射学杂志,2024,33(01):28.
 ZHAO Lei,DING Yu,XU Weiyang,et al.Absolute ethanol versus foam hardening agent for large venous malformations in child patients: comparison of efficacy[J].journal interventional radiology,2024,33(02):28.

备注/Memo

备注/Memo:
(收稿日期:2019-05-26)
(本文编辑:边?佶)
更新日期/Last Update: 2020-03-13