早期超声用于透明质酸填充剂血管不良事件的诊断与治疗
Early ultrasound for diagnosis and treatment of vascular adverse events with hyaluronic acid fillers.
作者信息
Schelke Leonie W, Velthuis Peter, Kadouch Jonathan, Swift Arthur
机构信息
Erasmus Medical Centre, Department of Dermatology, Rotterdam, The Netherlands.
ReSculpt Clinic, Department of Dermatology, Amsterdam, The Netherlands.
出版信息
J Am Acad Dermatol. 2023 Jan;88(1):79-85. doi: 10.1016/j.jaad.2019.07.032. Epub 2019 Jul 17.
BACKGROUND
Hyaluronic acid fillers are known for a reliable safety profile, but complications do occur, even serious vascular adverse events.
OBJECTIVE
To improve the treatment outcome after a vascular adverse event with use of hyaluronic acid filler treatments.
METHODS
Duplex ultrasonography is used to detect the hyaluronic acid filler causing the intra-arterial obstruction.
RESULTS
If treated in time, 1 single treatment of ultrasonographically guided injections of hyaluronidase into the filler deposit will prevent skin necrosis.
CONCLUSION
Because the use of duplex ultrasonography adds extra essential information, its use may become an integral part of the prevention and treatment of injection adverse events.
背景
透明质酸填充剂以其可靠的安全性而闻名，但并发症确实会发生，甚至会出现严重的血管不良事件。
目的
通过使用透明质酸填充剂治疗来改善血管不良事件后的治疗效果。
方法
使用双功超声检测导致动脉内阻塞的透明质酸填充剂。
结果
如果及时治疗，在超声引导下向填充剂沉积物中单次注射透明质酸酶可预防皮肤坏死。
结论
由于双功超声的使用增加了额外的重要信息，其应用可能会成为注射不良事件预防和治疗的一个组成部分。
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