根据MRI体积测量咽喉部血管瘤平阳霉素瘤内定量介入治疗

Quantitative treatment of intratumoral injection of bleomycin based on MRI volume measurements of pharynx and larynx hemangioma

目的探讨在电子喉镜及内窥镜专用注射小针双重辅助下,根据瘤体体积(MRI测量),精确定位定量瘤内注射平阳霉素混合液治疗咽喉部血管瘤的方法及疗效。方法收集5年来咽喉部血管瘤25例,MRI增强扫描,测量瘤体体积,电子喉镜明确定位后,利用内镜专用注射小针头(奥林帕斯WF-1816PN),根据瘤体体积,按比例瘤内精确定量注射平阳霉素混合液。结果治愈的20例,显效5例。经2年以上的随访,未见复发。结论根据瘤体MRI体积测量,定量控制平阳霉素瘤内介入治疗,方法安全可靠,简单有效。

【Objective】The article is intended to have a discussion on the approaches and curative effects of the treatment of pharynx and larynx hemangioma by injecting exact amount of the mixture of bleomycin into the exact tumor position, which was operated under electronic laryngoscope based on tumor size. 【Methods】25 cases, in recent 5 years, of pharynx and larynx hemangioma were recruited; Tumor size was measured under MRI enhanced scan; After the exact positioning by electronic laryngoscope based on the tumor size, injected into tumor the mixture of bleomycin in exact amount and position with the small needles specially used in electronic laryngoscope.【Results】20 cases proved cured and 5 cases proved effective with no recurrence after 2 years' follow-up. 【Conclusion】It is simple, effective and safety-guaranteed to treat pharynx and larynx hemangioman by injecting into tumor the mixture of bleomycin in exact amount and position based on the MRI measurement of tumor size.