B超引导下微创负压抽吸技术治疗儿童肢体淋巴管畸形的疗效探讨

Efficacy of mini-invasive negative pressure aspiration guided by B-ultrasound on limb lymphatic malformation in children

目的探讨B超引导下微创负压抽吸技术治疗儿童肢体淋巴管畸形的临床疗效。方法回顾性分析首都医科大学附属北京儿童医院2015年1月至2017年9月收治的12例肢体淋巴管畸形患儿临床资料,其中男7例,女5例,年龄3~13岁,平均年龄(6.38±2.85)岁。术前测量患肢肿物最明显处围度及健侧相同处围度。采用B超引导下微创负压抽吸技术进行治疗,术后均留置引流管并佩戴弹力套。术后测量肿物最明显处围度,将术前患侧围度分别与术前健侧围度及术后患侧围度进行对比。结果本组病例切口均一期愈合。术前患侧围度与术前健侧围度比较差异有统计学意义(P<0.05),术后患侧围度与术前患侧围度比较差异有统计学意义(P<0.05),术后患侧围度与术前健侧围度比较差异无统计学意义(P>0.05)。平均随访(14.27±2.42)个月,12例患儿术后外观明显改善,无明显神经肌肉受损。结论B超引导下微创负压抽吸技术治疗儿童肢体淋巴管畸形整体效果良好。

Objective To research the efficacy of mini-invasive negative pressure aspiration under the guidance of B-ultrasound in the treatment of limb lymphatic malformations in children.Methods Twelve cases of limb lymphatic malformations between January 2015 and September 2017 were reviewed.There were 7 boys and 5 girls with an average age of(6.38±2.85)(3-11)years.The longest circumferences of affected limb as compared to healthy side were measured before operation.Operation was performed with mini-invasive negative pressure aspiration under the guidance of B-ultrasound.Drainage catheter and elastic suit were retained.Multiple comparisons were made among three groups.Results All wounds healed primarily.Statistically significant difference existed between preoperative circumferences at both sides(P<0.05).And there was statistically significant difference in side circumference between affected side and preoperative side circumference(P<0.05).No significant difference existed in side circumference between affected side and preoperative healthy side circumference(P>0.05).The postoperative follow-up period was(14.27±2.42)months.Overall appearances significantly improved.There was no injury of muscle,blood vessel or nerve.There was no recurrence.Conclusion B-ultrasonography guided mini-invasive negative pressure aspiration is effective and mini-invasive for limb lymphatic malformations in children.