期刊文献+

硬化治疗可作为眼眶低血流性血管病变的一线疗法

Sclerosing therapy as first line treatment for low flow vascular lesions of the orbit
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摘要 PURPOSE: To evaluate the outcome of sodium morrhuate 5%injections in patients with low flow vascular lesions, which consist of orbital lymphangiomas, and in one patient with intraosseous cavernous hemangioma. DESIGN: Pros-pective, interventional consecutive case series. METHODS: Intralesional sodium morrhuate 5%was injected under direct visualization or under radiographic guidance to six patients with orbital lymphangiomas and one patient with intraosseous cavernous hemangioma. Comprehensive eye examination and follow-up imaging studies were performed. MAINOUTCOME MEASURES: Lesion size was evaluated by orbital imaging and clinical examination, visual acuity, exophthalmos, and posttreatment complications. RESULTS: Seven patients (four female, three male; average age, 33 years) were included. Six patients were diagnosed with orbital lymphangioma, and one patient was diagnosed with intraosseous cavernous hemangioma. Patients received an average of 2.6 ±2 intralesional injections of sodium morrhuate, with a range of one to six injections and a mean volume of 0.9 ±0.8 ml (range, 0.2 to 2.1 ml). Lesions showed a decrease in size an average of 50%(33%) and ranged from minimal (10%) to near total resolution (85%). Visual acuity and intraocular pressure remained unchanged; exophthalmos decreased an average of 1.5 ±1.8 mm. Complications included one case of orbital hemorrhage that resolved spontaneously and transient keratopathy in all patients with anterior orbital lesions. CONCLUSION: Intralesional sclerosing therapy with sodium morrhuate 5%is effective in tumor debulking in patients with orbital lymphangioma and is not associated with vision-threatening complications. It may be a better alternative to surgery for low flow orbital tumors, which includes lymphangioma. PURPOSE: To evaluate the outcome of sodium morrhuate 5% injections in patients with low flow vascular lesions, which consist of orbital lymphangiomas, and in one patient with intraosseous cavernous hemangioma. DESIGN: Prospective, interventional consecutive case series. METHODS: Intralesional sodium morrhuate 5% was injected under direct visualization or under patients with orbital lymphangi radiographic guidance to six omas and one patient with intraosseous cavernous hemangioma. Comprehensive eye examination and follow-up imaging studies were performed. MAINOUTCOME MEASURES: Lesion size was evaluated by orbital imaging and clinical examination, visual acuity, exophthalmos, and posttreatment complications. RESULTS: Seven patients (four female, three male; average age, 33 years) were included. Six patients were with orbital lymphangioma, and one patient was diagnosed diagnosed.
出处 《世界核心医学期刊文摘(眼科学分册)》 2006年第5期15-15,共1页 Digest of the World Core Medical Journals:Ophthalmology
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