摘要
目的探讨超声定位引导下手术联合聚桂醇硬化剂注射治疗儿童肌内静脉畸形(venous malformations,VM)的临床效果。方法自2014年1月至2020年8月,南京医科大学附属儿童医院烧伤整形科对37例经影像学检查诊断为VM的患儿,行手术联合硬化剂注射治疗;术中超声引导下插入定位针,沿定位针切除VM,其中1例患儿有少量残留病灶再行聚桂醇硬化剂注射治疗。结果对37例上肢、下肢和躯干VM患儿行超声引导下的手术治疗,其中10例(27%)术中行聚桂醇硬化剂注射治疗。所有患儿获随访1年,36例(97.3%)经一期完整切除后无复发,仅1例(2.7%)MRI显示局部复发,再次治疗后好转。结论在超声定位引导下的手术切除联合聚桂醇硬化剂注射治疗VM,安全有效、复发率较低。
Objective To explore the clinical efficacy of ultrasound-guided surgical management combined with lauromacrogol sclerotherapy in the treatment of intramuscular venous malformations(VM).Methods From January 2014 to August 2020,37 children diagnosed as VM were selected.All children underwent the ultrasound-guided surgical management combined with sclerotherapy.The positioning needle was inserted under the guide of ultrasound during the operation,and the VM was excised along the positioning needle.A small number of residual lesions in one child underwent second lauromacrogol sclerotherapy.Results Ultrasound-guided surgical management was performed in 37 children with intramuscular VM of upper limb,lower limb and trunk.Among these children,10 patients(27%)underwent lauromacrogol sclerotherapy.All children were followed-up for 1 year.No recurrence was found in 36 children(97.3%)after complete excision in one-stage.The local recurrence of VM was found in 1 child(2.7%)through postoperative MRI and improved after retreatment.Conclusion Ultrasound-guided surgical management combined with lauromacrogol sclerotherapy in the treatment of VM is safe and effective.The recurrence rate was low.
作者
陈海妮
沈卫民
高庆文
韩涛
崔杰
陈建兵
赵峰
CHEN Hai-ni;SHEN Wei-min;GAO Qing-wen;HAN Tao;CUI Jie;CHEN Jian—bing;ZHAO Feng(Department of Burn and Plastic Surgery,Children's Hospital of Nanjing Medical University,Nanjing 210008,China)
出处
《中国美容整形外科杂志》
CAS
2021年第4期225-226,I0011,共3页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
肌内静脉畸形
手术治疗
超声定位
硬化剂
注射治疗
Intramuscular venous malformations
Surgical management
Ultrasound guide
Sclerotherapy
Injection
