铜针介入栓塞术治疗海绵状血管瘤  

Copper Needle Puncturing for the Treatment of Cavernous Hemangioma under Ultrasonography Guiding

作　　者：周建大[1] 罗成群[1] 贺全勇[1] 朱颉[1] 周鹏翔[1] 李萍[1] 彭浩[1] 

机构地区：[1]中南大学湘雅三医院烧伤整形外科,湖南长沙410013

出　　处：《中国医师杂志》2004年第2期188-189,共2页Journal of Chinese Physician

摘　　要：目的　验证铜针介入栓塞术治疗海绵状血管瘤的疗效 ,探索疗效更肯定、操作更安全的铜针介入方法。方法　将纯铜外露的铜针分点、分层刺入瘤体 ,留置 5～ 9d拔针。直流电铜针栓塞术是指铜针刺入瘤体后 ,通以 4 5伏或 3 0伏直流电 2 0～3 0min ,加速血管瘤变性、栓塞 ,随即拔针。而高频彩超引导下铜针介入术是指在探头频率为 70MHz彩超引导下既显示铜针阴影又显示瘤体结构条件下留置铜针于瘤体内。结果　本组 48例共治疗 67次 ,总有效率 10 0 %。结论　铜针治疗海绵状血管瘤具有操作简单、疗效显著、并发症少等优点 ;直流电铜针栓塞术适于铜针不宜留置的颜面部或功能部位血管瘤 ;而在高频彩超引导下施术时 ,铜针留置数目少 ,组织损伤小 ,操作更安全 ,疗效更肯定 。Objective To comfirm the therapeutic effects of copper needle punctured into cavernous hemangioma to explore a more effective and safer method. Methods After local anesthesia, the copper needles were inserted into the cavernous hemangioma with different depth. The needles must be parallel to major nerves and blood vessels. The distance between the two puctured points was 1 to 2cm. The needles were removed after 7 to 9 days. And the copper needles embolism employing exogenous electric current at 3 or 4 5V for 20 to 30 mins, and inserting the needles with the help of high-frequency color doppler ultrasonography, were also performed in this study. Results Forty-eight patients were treated by this method. The follow-up of 1 to 4 years showed that the general effective rate was 100%. Conclusions It is effective, simple and safe method with less complication that copper needle puncturing for the treatment of cavernous hemangioma. Copper needle with electric current is suitable for treating cavernous hemangioma of the face, neck and joints. It is a safer and more effective method that copper needles puncturing for the therapy of cavernous hemangioma under the guidance of the high-frequncy color doppler ultrasonography.

关 键 词：铜针介入栓塞术 海绵状血管瘤 高频彩色多普勒超声 术中出血 局部麻醉 

分 类 号：R732.2[医药卫生—肿瘤] R730.55[医药卫生—临床医学]