彩色多普勒超声辅助下体表静脉畸形的栓塞硬化治疗  

The application of color doppler ultrasound in the embolization and sclerotherapy of surface venous malformations

作　　者：曹颖[1] 欧阳天祥[1] 

机构地区：[1]上海交通大学医学院附属新华医院整形外科,上海200092

出　　处：《中国美容医学》2008年第8期1181-1184,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨应用彩色多普勒超声观察栓塞硬化治疗体表静脉畸形的疗效。方法:治疗前、后常规行彩超检查,探测方法包括二维超声、脉冲波多普勒、彩色多普勒血流显像、血流频谱分析。经皮直接穿刺入病灶窦腔内,先用无水乙醇分次注射栓塞回流静脉,然后将含有抗肿瘤药物甲氨蝶呤的硬化剂鱼肝油酸钠注入瘤腔内,至瘤体变硬,术中应用彩色多普勒超声实时监测观察。结果:本组16例患者,治愈3例,有效3例,治愈率81.25%,有效率100%。结论:彩色多普勒超声在体表静脉畸形的栓塞硬化治疗中能够观察评价疗效,在治疗中可实时监测栓塞硬化结果,明显提高治疗效果和安全性。Objective To explore the effective method of embolization and sclerotherapy for surface venous malformations with the application of color doppler ultrasonography. Methods Having the inspection of color doppler ultrasound before and after the treatment, including bidimensional ultrasound,PW,CDF1 and doppler spectral patterns. Percutaneous embolization of surface venous lesions with absolute ethanol, and then sclerotherapy the lesions with the mixture of sodium morrhuate and methotrexate. During the treatment, using coror dopprer urtrasound to dynamic observe the resions. Results rn this group, 16 patients were treated, 13 patients（81.25%） were cured and 3 patients were improved. The effective rate is 100%. Conclusion The method is a safe and reriabre technique, rt can improve curative effect and increase safety.

关 键 词：静脉畸形 栓塞硬化治疗 彩色多普勒超声 

分 类 号：R732.2[医药卫生—肿瘤]