经皮硬化术在儿童复杂型静脉畸形临床应用中的价值

Clinical value of Percutaneous Sclerotherapy in Children with Complex Venous Malfunctions

目的总结儿童复杂型静脉畸形的临床特点及诊治体会，探讨无水乙醇经皮硬化术治疗儿童复杂型静脉畸形的临床价值。方法回顾性分析本院76例复杂型静脉畸形患儿无水乙醇经皮硬化术治疗临床资料，评价其疗效及不良反应。结果76例患儿共接受235次治疗，平均3．09次。单次治疗中无水乙醇每次为2～10 m L。平均住院时间3．5 d。术后随访52例治愈，17例显效，有效率90．8％。结论经皮硬化术治疗具有安全、疗效显著、创伤小、住院时间短、预后好等优点，在儿童复杂型静脉畸形的治疗中具有推广价值。

[Objective]To explore the clinical characteristic ,diagnosis and treatment of children with complexvenous malformation .[Methods]Retrospective analyses were conducted for the clinical data of 76 cases ofcomplex venous malformation .And the efficacies and adverse reactions of percutaneous sclerotherapy were evaluated.[Results]A total of 235 sessions were offered at an average of 3 .09 sessions per case .The singledose of anhydrous ethanol was 2 ~ 10 mL .The average hospitalization time was 3 .5 days .During the postoperativefollow‐ups ,52 cases were cured and 17 cases improved markedly with an effective rate of 90 .8% .[Conclusion]Percutaneous sclerotherapy has the advantages of obvious efficacies ,safety ,little trauma ,short hospitalizationtime ,and better prognosis .Therefore it is worthy of further clinical promotions .