Klippel—Trenaunay综合征的介入治疗  

Clinical application of transcatheter embolization for Klippel-Trenaunay syndrome

作　　者：金志宏[1] 刘波[1] 高占峰[1] 

机构地区：[1]内蒙古医学院附属医院血管外科,呼和浩特010050

出　　处：《中华医学杂志》2012年第18期1272-1274,共3页National Medical Journal of China

摘　　要：目的探讨介入治疗Klippel—Trenaunay综合征的可行性。方法回顾性分析内蒙古医学院附属医院2005年3月至2010年10月20例Klippel—Trenaunay综合征患者的病历资料。结果20例患者完善相关检查后行血管造影检查，其中18例经介入治疗（PVA颗粒加弹簧圈进行栓塞）术后成功封堵或栓塞动静脉瘘，症状改善，无并发症和围手术期死亡；2例因术中无法配合、风险过大、血管过细微导管无法通过等原因未行治疗。平均随访12个月，随访期内2例症状复发，但症状较介入治疗前为轻。结论介入治疗Klippel-Trenaunay综合征疗效明确、安全、微创，远期随访效果满意。Objective To explore the feasibility of interventional treatment of Klippel-Trenaunay syndrome（KTS）. Methods The clinical data of 20 KTS patients admitted into our hospital from March 2005 to October 2010 were retrospectively analyzed. Results All 20 patients underwent angiography after the relevant examinations. Among them, 18 patients underwent interventional treatment （embolization with PVA particles and spring coils）. Two patients received no interventional treatment due to non-cooperation, high risk or extremely thin vessels. And 18 patients achieved excellent results after interventional treatment. Neither complications nor peri-operative mortality occurred. The patients were followed-up for an average period of 12 months. Mild symptoms recurred in 2 patients. Conclusion Interventional treatment is an effective, safe and mini-invasive procedure for KTS with satisfactory long-term outcomes.

关 键 词：Klippel—Trenaunay—Weber综合征 血管造影术 放射学 介入性 

分 类 号：R654.3[医药卫生—外科学]