CT引导下儿童软组织内血管瘤和血管畸形的硬化治疗

Sclerotherapy of Children's Soft Tissue Vascular Malformation and Hemangioma Using Pingyangmycin Guided by CT

目的探讨CT引导下血管瘤和血管畸形硬化治疗的可行性和疗效。资料与方法回顾性分析53例经影像诊断血管瘤和血管畸形患儿资料。在CT引导下局部穿刺平阳霉素硬化治疗,采用平阳霉素2 mg、生理盐水2 ml、2%利多卡因2.5 ml、泛影葡胺1 ml。结果53例中,38例(71.7%)治愈,13例(24.5%)有效,2例无效。6例(11.3%)发生副反应。无误穿正常组织和正常组织药物渗漏现象。其中病变位于颌面部27例(50.9%)。结论CT引导下软组织内血管瘤和血管畸形平阳霉素硬化治疗,安全可靠,治愈率高,可以作为该类疾病有效的治疗手段。

Objective To evaluate the feasibility and efficacy of sclerotherapy of vascular malformation and hemangioma using pingyangmycin guided by CT.Materials and Methods Imaging data of 53 cases with vascular malformation and hemangioma diagnosed by radiological modalities were analyzed retrospectively.Percutaneous injection with pingyangmycin plus sanline,lidocaine and acetrizoic guided by CT were used.Results 38 cases were cured successfully（71.7%）,13 cases had the positive effect（24.5%）,2 cases had no effect,6 cases had side-effect.（11.3%）Among them,The lesions were located at the maxillofacial in 27 cases（50.9%）.Conclusion It is security and feasibility to sclerotherapy of vascular malformation and hemangioma in soft tissue using pingyangmycin guided by CT.