Department of Plastic and Reconstructive Surgery, Hokkaido University, Sapporo, Japan.
Acta Otorhinolaryngol Ital. 2010 Jun;30(3):149-52.
Sclerotherapy for arteriovenous malformations has to be performed under general anaesthesia because of the pain during injection and the need of careful monitoring. Two cases with arteriovenous malformations of the face regions are presented in whom percutaneous sclerotherapy was performed under local anaesthesia in the outpatient clinic. The sessions were uneventful and there was a visible decrease in the overall size and an improvement in skin colour of the lesion could be seen. Sclerotherapy can be used in the outpatient clinic to treat arteriovenous malformations that have a slow flow or a venous outflow that can be compressed to artificially slow the flow during injection.
动静脉畸形的硬化疗法需要在全身麻醉下进行,因为注射过程中会有疼痛,并且需要仔细监测。本文介绍了 2 例面部长动静脉畸形患者,他们在门诊接受了局部麻醉下的经皮硬化疗法。治疗过程顺利,病变的整体大小明显缩小,皮肤颜色也有所改善。对于那些血流缓慢或静脉回流可以通过压迫来人为减缓的动静脉畸形,可以在门诊使用硬化疗法进行治疗。