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数字减影血管造影(DSA)引导下的序贯硬化治疗用于颌面部静脉畸形

Digital subtraction angiography (DSA) guided sequential sclerotherapy for maxillofacial vein malformation.

作者信息

Meng J, Zhuang Q-W, Gu Q-P, Zhang J, Li Z-P, Si Y-M

机构信息

Department of Stomatology, Xuzhou Central Hospital, Affiliated Xuzhou Hospital, College of Medicine, Southeast University, Xuzhou, China.

出版信息

Eur Rev Med Pharmacol Sci. 2014;18(12):1709-12.

Abstract

OBJECTIVES

Venous malformations commonly occur in the head and neck and affect the patient's appearance and also cause pain, ulcers, and bleeding. Current treatment options have many limitations and it is necessary to explore alternate methods to address these malformations. This work was aimed to explore the best method for treating patients with maxillofacial vein malformation.

PATIENTS AND METHODS

Guided by digital subtraction angiography, 43 patients with maxillofacial vein malformation were treated with sequential sclerotherapy intervention.

RESULTS

Patients were followed up for 7 months to 3 years. Lesions completely recessed in 7 cases. Recession rates were greater than 50% in 28 cases, 25-50% in 5 cases, and less than 25% in 3 cases. No severe complications occurred.

CONCLUSIONS

Sclerotherapy with ethanol and pingyangmycin is a safe and effective method of treating maxillofacial vein malformation.

摘要

目的

静脉畸形常见于头颈部,影响患者外观,还会导致疼痛、溃疡和出血。目前的治疗方法有很多局限性,有必要探索其他方法来处理这些畸形。本研究旨在探索治疗颌面部静脉畸形患者的最佳方法。

患者与方法

在数字减影血管造影引导下,对43例颌面部静脉畸形患者进行序贯硬化治疗干预。

结果

患者随访7个月至3年。7例病变完全消退。28例消退率大于50%,5例为25%-50%,3例小于25%。未发生严重并发症。

结论

乙醇和平阳霉素硬化治疗是治疗颌面部静脉畸形的一种安全有效的方法。

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