探讨介入治疗软组织血管畸形的临床疗效及安全性

Interventional therapy for soft tissue vascular mafformations

探讨介入治疗软组织血管畸形的临床疗效及安全性。方法搜集1998年1月至2008年12月经介入治疗各种血管畸形31例，男19例，女12例，年龄12—51岁，发生于四肢的血管畸形最为常见，其他部位的有躯干、生殖器官等。治疗方法为在DSA引导下：①经皮穿刺血管畸形注射硬化剂治疗；②经导管供血动脉对血管畸形进行栓塞治疗。结果所有病例的畸形血管团得到全部或大部分闭塞、血管畸形局部肿胀减轻、溃破出血停止、软组织肿块变硬变小及固定；所有病例术中术后均无严重并发症发生。结论介入治疗软组织血管畸形是一种有效的、创伤小的治疗方法，在目前情况下应作为首选的治疗方法。

Objective To explore the efficacy and safety of interventional therapy in soft tissue vascular malformations. Methods 31 patients with vascular malformations by interventional therapy （January of 1998 to December of 2008 ）, 19 males and 12 females, aged from 12 years to 51 years, the vascular malformation of limbs were common site, the other locations were the trunk and genital organ et al. Treatment methods under DSA guid- ance ： （ 1 ） The vascular malformations by drug hardens throug percutaneous. （ 2 ） The vascular malformations artial embolization with drug harden treatment. Results All patients of abnormal malformation group were cured or partly improved, The clinical symptoms were partly improved, There were no severe complications during or after operation. Conclusion Interventional therapy in vascular malformations is an effective and safe therapeutic method,is first modalidy to treat vascular malformations.