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小儿先天性股深动静脉瘘的介入栓塞治疗

Interventional embolization therapy of puerile congenital deep femoral arteriovenous fistula.

作者信息

Zhang Jing, Tan Xiao-Yun, Zhou Shao-Yi, Chen Kun-Shan, Li Hai-Bo, Jiang Yi-Zhou, Lin Que-Qing

机构信息

Department of Interventional Therapy, Guangzhou Women and Children's Medical Center, Guangzhou 510120, P.R. China.

出版信息

Exp Ther Med. 2013 Feb;5(2):503-506. doi: 10.3892/etm.2012.832. Epub 2012 Nov 26.

Abstract

This study aimed to investigate the treatment efficiency of interventional embolization therapy in puerile congenital deep femoral arteriovenous fistula. A retrospective analysis was conducted for 9 cases of congenital deep femoral arteriovenous fistulae treated in our department in the past 5 years. B-ultrasound examination indicated that all puerile patients suffered from deep femoral arteriovenous fistulae, which was confirmed by angiography examination. For all patients, endovascular interventional embolization therapy was conducted and angiography re-examination was implemented after 4 weeks. If there were residual orificium fistulae, the interventional embolization therapy was conducted again. In the 6 month to 2 year follow-up period, improvement of clinical symptoms was observed. Following interventional embolization, 9 cases of deep femoral arteriovenous fistulae were completely occluded and the clinical symptoms were improved. No relapses occurred. In addition, after three embolization treatments, the disease condition of one case was controlled well and the disease condition did not progress. Interventional embolization therapy has a number of advantages, including simple surgery and reliable treatment efficacy. Therefore, it is worthy of promotion and application in the clinic.

摘要

本研究旨在探讨介入栓塞治疗小儿先天性股深动静脉瘘的治疗效果。回顾性分析了我科过去5年收治的9例先天性股深动静脉瘘患儿的病例资料。B超检查显示所有患儿均患有股深动静脉瘘,血管造影检查进一步证实了诊断。所有患者均接受了血管内介入栓塞治疗,并于4周后进行血管造影复查。若存在残余瘘口,则再次进行介入栓塞治疗。在6个月至2年的随访期内,观察到临床症状有所改善。介入栓塞治疗后,9例股深动静脉瘘均完全闭塞,临床症状改善,无复发。此外,经过3次栓塞治疗后,1例患儿病情得到良好控制,病情未进展。介入栓塞治疗具有手术操作简单、治疗效果可靠等诸多优点。因此,值得在临床上推广应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6908/3570193/af09c6374aa3/ETM-05-02-0503-g00.jpg

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