肢体及颌面部低流量血管畸形的介入治疗

Interventional treatment for limb and maxillofacial region low flux vascular malformation

目的 探讨经皮穿刺硬化治疗肢体及颌面部低流量血管畸形的可行性和临床疗效。方法 回顾性分析 1998～ 2 0 0 2年来在我院接受介入治疗的 17例肢体及颌面部低流量血管畸形患者的治疗经过和疗效。本组患者应用直接穿刺、动脉造影 +穿刺或动脉栓塞 +穿刺等不同方法 ,向瘤体内推注乙醇或碘油 +平阳霉素行硬化治疗。结果 17例中 11例经一次硬化治疗治愈 ,5例行多次硬化治愈 ,1例会阴部低流量血管畸形患者因过度栓塞 ,引起局部肌肉坏死 ,行局部坏死组织挖除并植皮治疗。结论 肢体及颌面部低流量血管畸形的治疗难度比较大 ,但经皮穿刺硬化治疗是一种有效、安全可靠的治疗方法。

Objective To study the clinical feasibility of the percutaneous sclerosis treatment for limb and maxillofacial region low flux vascular malformations. Methods 17 cases with limb and maxillofacial region low flux vascular malformation were collected from 1998 to 2002 accepting interventional treatment in our hospital with application of direct percutaneous sclerosis or percutaneous sclerosis through arteriography or arterial embolism three methods, using tardener's alcohol method of Hardener with alcohol or iodinated oil accompanied by pingyangmycin. Results Altogether 17 cases included with once cured in 11 cases, multple times of treatment in 5 and the last case needed necrotic tissue resection with skin graft due to localized muscular necrosis caused by inproper embolization. Conclusions The interventional treatment for limb and maxillofacial region low flux vascular malformation is an effective and safety method.