铜针埋置术治疗巨大静脉畸形效果研究  

Copper Needle Implantation for Venous Vascular Malformations

作　　者：贾炎坤 李超 杨磊 陈思宇 刘毅 JIA Yan-kun;LI Chao;YANG Lei;CHEN Si-yu;LIU Yi(The Second Ward of Trauma Microsurgery,the 988^th Hospital of the Joint Logistic Support Force of PLA,Zhengzhou 450007,Henan,China;Burn and Plastic Surgery Center,the 940^th Hospital of the Joint Logistic Support Force of PLA,Lanzhou 730050,Gansu,China)

机构地区：[1]解放军联勤保障部队第988医院创伤显微外科二病区,河南郑州450007 [2]解放军联勤保障部队第940医院全军烧伤整形外科中心,甘肃兰州730050

出　　处：《中国美容医学》2019年第12期14-16,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨铜针埋置术治疗臀部巨大静脉畸形(旧称海绵状血管瘤)的临床疗效,为临床广泛开展应用提供客观依据。方法:本次为1例臀部巨大静脉畸形患者,结合臀部核磁影像,分区埋置铜针,较深部位埋置长度为6~6.5cm的铜针,较浅部位埋置5cm的铜针。手术分两次先后共计插入277根铜针。结果:患者局部肿块消失,术后半年无复发,效果明显。结论:本例患者呈现巨大静脉畸形,药物控制效果不佳,手术切除难度大而复杂,预后不确切,复发几率高,故采用大量铜针埋置为主要治疗方法,术后效果良好。Objective To explore the clinical effect of copper needle embedding in the treatment of massive venous malformation of buttock(formerly known as cavernous hemangioma),and to provide an objective basis for clinical application.Methods This was a case of giant cavernous hemangioma of buttock,combined with hip magnetic imaging,burying a copper needle was placed,a copper needle having a length of 6cm to 6.5cm was buried in a deep portion,and a copper needle having a thickness of 5cm was buried in a shallow portion.A total of 277 copper needles were inserted into the operation twice.Results The local mass disappeared and there was no recurrence after half a year.The effect was obvious.Conclusion This patient presents with giant cavernous hemangioma.The drug control effect is not good.The surgical resection is difficult and complicated.The prognosis is inaccurate and the probability of recurrence is high.Therefore,a large number of copper needles are used as the main treatment,and the postoperative effect is good.

关 键 词：铜针埋置术 静脉畸形 体表修复 

分 类 号：R732.2[医药卫生—肿瘤]