超声引导下介入治疗与手术治疗淋巴管畸形疗效比较  

Effect comparison of the intervention guided by ultrasound and surgery in the treatment of lymphatic malformation

作　　者：韩璇[1] 张莉[1] 李旭文[1] 吴利永[1] 宋培军[1] 

机构地区：[1]蚌埠医学院第一附属医院整形烧伤科,组织移植安徽省重点实验室,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2016年第3期299-301,共3页Journal of Bengbu Medical College

基　　金：安徽省卫生厅临床医学应用技术项目(2008B008)

摘　　要：目的:比较超声引导下介入治疗与手术治疗淋巴管畸形(LMs)的疗效。方法:超声检查确定的LMs患者35例,其中超声引导下平阳霉素介入治疗的17例为介入组,手术治疗的18例为手术组。术后随访2组患者的治疗效果、复发率及术后并发症。结果:介入组患者疗效优于手术组(P<0.05),介入组复发率为11.76%,手术组为33.33%,2组差异无统计学意义(P=0.229)。介入组均无手术瘢痕,未引起功能障碍,未发生肺纤维化;其中局部感染1例,发热8例。手术组均无切口感染,无重要神经损害及功能障碍,其中创面渗液4例,均有手术瘢痕。结论:超声引导下介入治疗LMs是一种准确、疗效好、并发症少和微创的治疗方法。Objective： To compare the clinical effects between intervention guided by ultrasound and surgery in the treatment of lymphatic malformations（ LMs）. Methods： Among the thirty-five LMs patients diagnosed by ultrasound examination,17 cases were treated with bleomycin intervention guided by ultrasound（ intervention group）,and 18 cases were treated with surgery（ operation group）. The clinical effect,recurrence rate and postoperative complication between groups were followed up. Results： The clinical effect in intervention group was better than those in operation group（ P〈0. 05）. The recurrence rates in intervention group and operation group were 11. 76% and 33. 33%,respectively. The difference of which was not statistically significant（ P = 0. 229）. No surgical scar,dysfunction and pulmonary fibrosis,and local infection in 1 case and fever in 8 cases in intervention group were found. No wound infection,important nerve damage and dysfunction,and wound exudate in 4 cases and operation scar in all cases in operation group were identified. Conclusions： The treatment of LMs with intervention guided by ultrasound is accurate,good efficacy,fewer complications and minimally invasive.

关 键 词：淋巴管畸形 超声 介入治疗 手术治疗 

分 类 号：R551.2[医药卫生—血液循环系统疾病]