10例蔓状血管瘤的介入治疗  

10 cases of racemose angioma treated with interventional therapy

作　　者：杨冠英[1] 何耀强[1] 李嘉朋[1] 邝恒沙[1] 李桂林[1] 朱彬[1] 

机构地区：[1]佛山市第一人民医院影像科,广东528000

出　　处：《放射学实践》2012年第12期1391-1394,共4页Radiologic Practice

摘　　要：目的:探讨10例蔓状血管瘤的介入治疗价值。方法:回顾性分析10例蔓状血管瘤的介入治疗,通过对病变术前术后造影、B超或MRI检查及临床随访等,对比病变范围大小的变化,分析介入治疗效果。结果:5例为颌面部蔓状血管瘤伴1例大出血,2例为臀部,1例为右肩部,1例为大腿部,1例为手部。10例接受了经血管栓塞治疗,4例加以局部注射硬化剂治疗,达到临床治愈者6例,显效1例,有效1例,无效1例,复发1例,有效率为80%。所有栓塞病例均无严重并发症发生。结论:经选择性血管造影确诊后行经血管栓塞及经皮结合局部注射硬化剂治疗是蔓状血管瘤血管畸形安全有效的治疗手段。Objective：To study the effect of interventional therapy on racemose angioma. Methods：10 cases of race- mose angioma treated with interventional therapy were included in this retrospective study. Clinical follow-up, pre-post oper- ation angiography,ultrasound and MRI examination were performed to evaluate the change of lesions and the efficacy of in- terventional therapy. Results：Of the 10 racemose angiomas, 5 were located on maxillofacial region with haemorrhage,2 on buttocks, 1 on right shoulder, 1 on thigh, and 1 on hand. All of them received transcatheter arterial embolization, 4 emboliza- tion combined with sclerotherapy was performed in 4 cases. After operation, 6 patients recovered completely, 1 patient im- proved significantly,it was effectual in one patient,non-effective in one patient, and there was recurrence in one patient. The total cure rate was 80 %. No complications were observed in all operations. Conclusion： Transcatheter arterial embolization and sclerotherapy are effective and safe measures for treating racemose angioma.

关 键 词：血管瘤 血管畸形 栓塞 治疗性 

分 类 号：R758.6[医药卫生—皮肤病学与性病学]