【摘要】：目的探討無水乙醇聯(lián)合組織膠硬化栓塞治療兒童高回流靜脈畸形的臨床效果。方法回顧性分析2009年4月至2014年10月全身麻醉下介入硬化劑治療的339例靜脈畸形患兒臨床資料。對(duì)137例高回流靜脈畸形患兒施行無水乙醇聯(lián)合α-氰基丙烯酸正丁酯(NBCA)硬化栓塞治療。術(shù)后隨訪6~24個(gè)月,平均15個(gè)月。結(jié)果 137例高回流靜脈畸形患兒均成功接受無水乙醇聯(lián)合NBCA膠治療,其中23例治愈,31例基本治愈,42例有效(好轉(zhuǎn)),總有效率為70%(96/137)。1例NBCA膠回流導(dǎo)致異位栓塞,8例皮膚破潰,3例術(shù)中出現(xiàn)一過性肺動(dòng)脈高壓,不良反應(yīng)發(fā)生率為8%(12/137)。結(jié)論無水乙醇聯(lián)合NBCA膠硬化栓塞治療兒童高回流靜脈畸形,是一種安全有效、不良反應(yīng)發(fā)生率低的治療方法。
[Abstract]:Objective To investigate the clinical effect of ethanol combined with tissue glue embolization in the treatment of hyperreflux venous malformations in children.Methods The clinical data of 339 children with venous malformations treated with interventional sclerotherapy under general anesthesia from April 2009 to October 2014 were retrospectively analyzed.137 children with hyperreflux venous malformations were treated with ethanol combined with alpha-cyanopropylene. Results 137 cases of high reflux venous malformations were successfully treated with absolute ethanol combined with NBCA glue. 23 cases were cured, 31 cases were basically cured, 42 cases were effective (improved). The total effective rate was 70% (96/137). One case of NBCA glue reflux led to ectopic embolism, 8 cases of skin ulceration, 3 cases of skin ulceration. The incidence of adverse reactions was 8%(12/137). Conclusion Ethanol combined with NBCA glue scleroembolization is a safe and effective method for the treatment of children with high reflux venous malformation.
【作者單位】： 廣州市婦女兒童醫(yī)療中心介入血管瘤科;
【基金】：廣州市醫(yī)藥衛(wèi)生科技一般引導(dǎo)項(xiàng)目(20141A011029)
【分類號(hào)】：R725.4

【相似文獻(xiàn)】

相關(guān)期刊論文 前3條

1 陳德松;顧玉東;蘇鎰昌;馮美華;周肇平;;回流靜脈對(duì)跨越中線的腹壁游離皮瓣影響的實(shí)驗(yàn)研究[J];上海醫(yī)學(xué);1992年10期

2 施樂華,吳孟超,陳漢,張志浩,周允沖;肝臟回流靜脈中肝癌細(xì)胞的檢測(cè)及術(shù)后復(fù)發(fā)[J];臨床肝膽病雜志;1994年01期

3 ;[J];;年期

相關(guān)會(huì)議論文 前1條

1 馬顯杰;魯開化;艾玉峰;;頸橫動(dòng)脈頸段皮支皮瓣的臨床應(yīng)用[A];全國第三屆燒傷外科學(xué)術(shù)交流會(huì)議論文摘要[C];1991年

，

本文編號(hào)：2246153