Orlando José Luiz, Caldas José Guilherme Mendes Pereira, Campos Heloisa Galvão do Amaral, Nishinari Kenji, Krutman Mariana, Wolosker Nelson
Hospital AC Camargo, São Paulo, SP, Brazil.
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Einstein (Sao Paulo). 2014 Apr;12(2):181-6. doi: 10.1590/s1679-45082014ao2844.
This retrospective study evaluated the results of sclerotherapy with low doses of ethanol for treatment of head and neck venous malformations.
We treated 51 patients, 37 females. Median age was 23 years. Patients were treated with percutaneous intralesional injection of alcohol every two weeks and followed up prospectively for a median period of 18 months. Most lesions affected the face and cosmetic disfigurement was the most frequent complaint.
We performed a median of 7 sessions of sclerotherapy. Complete resolution or improvement was observed in 48 patients presented. Five cases of small skin ulceration, two cases of hyperpigmentation and two of paresthesia were documented; all of them were treated conservatively.
Percutaneous sclerotherapy with low doses of ethanol is a safe and effective treatment modality for venous malformations affecting the head and neck.
本回顾性研究评估了低剂量乙醇硬化治疗头颈部静脉畸形的效果。
我们治疗了51例患者，其中37例为女性。中位年龄为23岁。患者每两周接受经皮瘤内注射酒精治疗，并进行前瞻性随访，中位随访期为18个月。大多数病变累及面部，最常见的主诉是美容缺陷。
我们平均进行了7次硬化治疗。48例患者出现完全消退或改善。记录到5例小面积皮肤溃疡、2例色素沉着和2例感觉异常；所有这些均采用保守治疗。
低剂量乙醇经皮硬化治疗是治疗头颈部静脉畸形的一种安全有效的治疗方式。
Zotero 插件