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[注射乙碘油治疗低压性血管畸形。19例研究及并发症分析]

[Treatment of low-pressure vascular malformations by injection of Ethibloc. Study of 19 cases and analysis of complications].

作者信息

Baud A V, Breton P, Guibaud L, Freidel M

机构信息

Service de stomatologie, de Chirurgie Maxillo-Faciale et Chirurgie Plastique de la face, Centre Hospitalier Lyon-Sud, Pierre-Bénite.

出版信息

Rev Stomatol Chir Maxillofac. 2000 Oct;101(4):181-8.

Abstract

We retrospectively studied the cases of 19 patients suffering from low flow vascular malformations who were treated with Ethibloc sclerotherapy. Out of 10 venous angiomas, 5 entirely disappeared, 3 considerably decreased and 2 remained unaltered. Out of 7 cystic lymphangiomas, 7 were completely cured and in the 2 other cases, outcome was quite good. Post-treatment complications consisted in a local inflammatory reaction. This reaction occurred immediately and disappeared within a few days without after-effects. It materialized as an Ethibloc exteriorization among 5 patients suffering from venous angiomas and 3 patients suffering from lymphangiomas and as an inflammatory lump for 2 venous angiomas carriers and for 4 lymphangiomas carriers. This lump was located at the puncture point of the product and it was due to some Ethibloc residue. Fourteen of these local reactions spontaneously decreased; 5 of them required a surgical operation but in all cases, after-effects were minor. These satisfactory results (volume decreasing in 90% of the malformations) as well as the mildness of the side effects encourage to use Ethibloc in the treatment of low flow vascular malformations. In our experience, Ethibloc is particularly appropriate for the treatment of large lymphangiomas.

摘要

我们回顾性研究了19例接受乙碘油硬化治疗的低流量血管畸形患者的病例。在10例静脉性血管瘤中,5例完全消失,3例明显缩小,2例无变化。在7例囊性淋巴管瘤中,7例完全治愈,另外2例效果也相当好。治疗后的并发症为局部炎症反应。这种反应立即出现,几天内消失,无后遗症。它表现为5例静脉性血管瘤患者和3例淋巴管瘤患者出现乙碘油外渗,2例静脉性血管瘤患者和4例淋巴管瘤患者出现炎性肿块。该肿块位于注射部位,是由一些乙碘油残留引起的。这些局部反应中有14例自发减轻;其中5例需要手术,但在所有病例中,后遗症都很轻微。这些令人满意的结果(90%的畸形体积减小)以及副作用的轻微程度鼓励在低流量血管畸形的治疗中使用乙碘油。根据我们的经验,乙碘油特别适合治疗大型淋巴管瘤。

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