体表海绵状血管瘤瘤体穿刺造影及平阳霉素碘油乳剂治疗  

Superficial cavernous hemangioma: its puncture venography and treatment with pingyangmycin lipiodol emulsion

作　　者：刘晓红[1] 宋锦文[1] 印建国[1] 宁季军[1] 杨军[1] 

机构地区：[1]兰州军区兰州总医院放射科,兰州730050

出　　处：《介入放射学杂志》2009年第4期259-261,共3页Journal of Interventional Radiology

摘　　要：目的回顾总结91例体表海绵状血管瘤的造影表现,评价瘤体注射平阳霉素碘油乳剂(PLE)治疗体表海绵状血管瘤的疗效。方法对91例体表海绵状血管瘤采用直接穿刺瘤腔造影观察病变范围、大小、有无引流静脉,确诊后行平阳霉素碘油乳剂瘤体内注射。结果瘤体造影表现单发或多发类圆囊形39例,团块状42例,葡萄串状5例,其他类型5例。治愈62例,有效29例,未见无效者。有效率100%。未出现表面皮肤坏死和异位栓塞等并发症。结论直接穿刺瘤体造影有助于病变的诊断。局部注射平阳霉素碘油乳剂治疗体表海绵状血管瘤可取得较好的疗效,操作方便、安全、无明显不良反应。Objective To summarize the venographic manifestations of superficial cavernous hemangiomas in 91 cases, and to estimate the therapeutic efficacy of pingyangmycin lipiodol emulsion （PLE） injection. Methods Direct puncture venography was performed in 91 cases with superficial cavernous hemangioma. The extent, size and draining vein of the lesions were assessed. PLE was injected into the hemangioma when the diagnosis was confirmed. Results Venographically, the superficial cavernous hemangiomas were manifested as solitary or multiple saccular （n = 39）, mass-like （n = 42）, botryoidal （n = 5） or other shaped （n = 5） lesions. Of the total 91 cases, complete cure was obtained in 62 and favored result in 29, with the effective rate of 100%. No complications, such as epidermal necrosis or ectopie embolism, occurred. Conclusion As an effective, safe and simple technique with no obvious side effects, pingyangmycin lipiodol emulsion injection is very useful in treating superficial cavernous hemangioma, while the direct puncture venography is of value for the diagnosis.

关 键 词：平阳霉素碘油乳剂 体表海绵状血管瘤 血管造影术 

分 类 号：R543.7[医药卫生—心血管疾病]