[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)
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