介入栓塞加局部注射硬化剂治疗头颈部巨大血管瘤

Effects of intervention embolization therapy and intratumor injection with hardener on head and neck gigantic hemangioma

目的:探讨采用动脉栓塞疗法加局部注射硬化剂治疗头颈部巨大血管瘤的疗效。方法:3例患者均 先经DSA技术,对与血管瘤有关的颈外动脉分支进行介入栓塞治疗,术后每隔7～14d用硬化剂行瘤体内注射。 结果:栓塞术加局部注射硬化剂后瘤体明显缩小至基本消失,栓塞区有轻微疼痛、肿胀,经对症处理后消失,未发 生误栓其他器官及大面积组织坏死等并发症。随访6个月～2年未见复发。结论:DSA下动脉栓塞治疗对有明 确责任动脉的血管瘤有良好的临床疗效;栓塞后瘤体内注射硬化剂可减少复发。

Objective:The goal of this study is to present our experience of transarterial embolization and intratumer injection for the treatment of gigantic hemangioma of the head,face,and neck.Method:From 2001 to 2003,3 patients with gigantic hemangioma were selected to get digital subtraction angiography(DSA) and transarterial embolization and intratumer injection successfully.Result:Angiography after embolization showed almost complete obliteration of hemangioma. There were no serious complications such as embolish to other organs and necrosis of alarge area in the embolized tissue. Only slight swelling and pain in the embolized area were present.And gradually disappeared by expectand trantment. No recurrence of the symptoms was occurred in a follow-up evaluation of 6~24 months.Conclusion:Using of DSA, transarterial embolization and intratumer injection showed an excellent clinic effect on treatment of hemagioma,reducing the recurrence of the symptoms.