[1]汪 松,尹传高,潘 登,等.经导管动脉硬化栓塞联合普萘洛尔治疗婴幼儿颌面部巨大血管瘤[J].介入放射学杂志,2015,(10):853-856.
 WANG Song,YIN Chuan- gao,PAN Deng,et al.Transcatheter arterial embolization using hardening agent combined with oral propranolol for the treatment of giant hemangioma at maxillofacial region in infants[J].journal interventional radiology,2015,(10):853-856.
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经导管动脉硬化栓塞联合普萘洛尔治疗婴幼儿颌面部巨大血管瘤 ()

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

卷:
期数:
2015年10期
页码:
853-856
栏目:
血管介入
出版日期:
2015-10-25

文章信息/Info

Title:
Transcatheter arterial embolization using hardening agent combined with oral propranolol for the treatment of giant hemangioma at maxillofacial region in infants
作者:
汪 松 尹传高 潘 登 齐炜炜 李庚武 胡克非 王 悦 张 靖
Author(s):
WANG Song YIN Chuan- gao PAN Deng QI Wei- wei LI Geng- wu HU Ke- fei WANG Yue ZHANG Jing
Department of Imaging Center, Anhui Provincial Children’s Hospital, Hefei, Anhui Province 230051, China
关键词:
【关键词】 婴幼儿 血管瘤 硬化栓塞 普萘洛尔 颌面部
文献标志码:
A
摘要:
【摘要】 目的 总结经导管动脉硬化栓塞术(TASE)联合普萘洛尔治疗婴幼儿颌面部巨大血管瘤的效果。方法 2013年10月至2014年12月安徽省儿童医院影像中心采用TASE联合普萘洛尔治疗27例颌面部巨大血管瘤患儿(年龄2~22个月,平均5.9个月;体重4.5~10 kg,平均6.32 kg)。TASE术中行股动脉插管造影,血管瘤供血动脉超选择插管造影证实后向瘤体内注入平阳霉素碘油乳剂,再用聚乙烯醇(PVA)颗粒栓塞瘤体供血动脉。术后口服普萘洛尔3~6个月。结果 所有患儿随访3~6个月,临床体检和超声检查显示20例(75%)达治愈标准,7例(25%)显效。2例(7.5%)瘤体表面皮肤出现坏死,经对症处理后好转。未出现肺栓塞、脑栓塞等严重并发症,无复发病例。结论 TASE联合普萘洛尔治疗婴幼儿颌面部巨大血管瘤具有创伤小、见效快、安全性高、大多无瘢痕等优点,值得临床推广应用。

参考文献/References:

[1] Picard A, Boscolo E, Khan ZA, et al. IGF- 2 and FLT- 1/VEGF- R1 mRNA levels reveal distinctions and similarities between congenital and common infantile hemangioma[J]. Pediatr Res, 2008, 63: 263- 267.
[2] Meguro M, Soejima Y, Taketomi A, et al. Living donor liver transplantation in a patient with giant hepatic hemangioma complicated by Kasabach- Merritt syndrome: report of a case[J]. Surg Today, 2008, 38: 463- 468.
[3] 黄 穗, 秦增辉, 丁 竞. 儿童周围血管畸形的血管内治疗[J].介入放射学杂志, 2005, 14: 355- 357.
[4] Neri I, Balestri R, Patrizi A. Hemangiomas: new insight and medical treatment[J]. Dermatol Ther, 2012, 25: 322- 334.
[5] Burton BK, Schulz CJ, Angle B, et al. An increased incidence of hemangiomas in infants born following chorionic villus sampling.Prenat Diagn, 15: 209- 214.
[6] Mulliken JB, Glowaeki J. Hemangiomas and vascular malforma- tions in infants and children: a classification based on endothelial characteristics. Plast Reconstr Surg, 1982, 69: 412- 422.
[7] Finn MC, Glowacki J, Mulliken JB. Congenital vascular lesions: clinical application of a new classification[J]. J Pediatr Surg, 1983, 18: 894- 900.
[8] 孔伟东, 李彦豪, 曾庆乐, 等. 平阳霉素对血管内皮细胞的生长抑制作用和细胞周期的影响[J]. 第一军医大学学报, 2003, 23: 830- 832, 836.
[9] 赵淑新. 平阳霉素强的松龙治疗颌面部静脉畸形[J]. 口腔医学研究, 2010, 26: 639.
[10] Leaute- Labreze C, Dumas de la Roque E, Hubiche T, et al. Propranolol for severe hemangiomas of infancy[J]. N Engl J Med, 2008, 358: 2649- 2651.
[11] 郑家伟, 张 凌, 陈正岗. 普萘洛尔治疗婴幼儿血管瘤专家共识[J]. 中国口腔颌面外科杂志, 2013, 11: 161- 164.
[12] 张 靖, 邓细河, 王洪涛, 等. 经导管动脉栓塞治疗婴儿颌面部巨大血管瘤[J]. 中华小儿外科杂志, 2009, 30: 345- 348.
[13] 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, 20: 848- 852.
[14] 赵 璐, 吴 琳. 介入栓塞在儿科血管瘤治疗中的应用现状[J]. 介入放射学杂志, 2013, 22: 1059- 1062.

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备注/Memo

备注/Memo:
(收稿日期:2015-04-08)
(本文编辑:边 佶)
更新日期/Last Update: 2015-10-19