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硬化疗法——治疗血管病变和化脓性肉芽肿的有效方法:病例系列及文献综述

The Sclerotherapy-An Efficacious Approach in the Management of Vascular Lesions and Pyogenic Granuloma: Case Series with Literature Review.

作者信息

Sharma Sheetal, Shah Jigna S, Asrani Vijay K, Verma Annu

机构信息

Department of Oral Medicine and Radiology, AIIMS, Ansari Nagar, New Delhi, India.

Department of Oral Medicine and Radiology, Government Dental College and Hospital, Ahmedabad, Gujarat India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2021 Jun;73(2):167-173. doi: 10.1007/s12070-020-01960-4. Epub 2020 Jul 15.

Abstract

Sclerotherapy is a targeted elimination of small vessels, varicose veins, and vascular anomalies by the injection of a sclerosant. Sclerotherapy aims to damage the vessel wall and transform it into fibrous tissue. The present study was conducted to evaluate the efficacy of a sclerosing agent 3% polidocanol in the treatment of vascular lesions and pyogenic granuloma. The solution was injected intralesionally at multiple sites and was repeated after an interval of 2 weeks. The treatment effect was determined by clinical examination. Sclerotherapy with 3% polidocanol is effective in the treatment of vascular lesions and pyogenic granuloma. This treatment modality offers an alternative to conventional methods such as surgical excision, laser therapy, cryotherapy, steroid therapy, etc., in cases where conservative treatment is preferable. The advantage is that it causes minimal discomfort, negligible blood loss, less cumbersome, and above all is economical. There is no requirement of local anesthesia or postoperative dressings or any specific care. The patient can resume his daily activities immediately.

摘要

硬化疗法是通过注射硬化剂来靶向消除小血管、静脉曲张和血管畸形。硬化疗法旨在损伤血管壁并将其转化为纤维组织。本研究旨在评估硬化剂3%聚多卡醇治疗血管病变和化脓性肉芽肿的疗效。将该溶液在多个部位进行病灶内注射,并在间隔2周后重复注射。通过临床检查确定治疗效果。3%聚多卡醇硬化疗法在治疗血管病变和化脓性肉芽肿方面有效。在更倾向于保守治疗的情况下,这种治疗方式为诸如手术切除、激光治疗、冷冻治疗、类固醇治疗等传统方法提供了一种替代方案。其优点是引起的不适最小、失血可忽略不计、操作不那么繁琐,最重要的是经济实惠。不需要局部麻醉、术后敷料或任何特殊护理。患者可以立即恢复日常活动。

相似文献

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Standard guidelines for care: sclerotherapy in dermatology.标准护理指南:皮肤科硬化疗法。
Indian J Dermatol Venereol Leprol. 2011 Mar-Apr;77(2):222-31. doi: 10.4103/0378-6323.77478.
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Sclerotherapy - A novel modality in the management of oral pyogenic granuloma.硬化疗法——治疗口腔化脓性肉芽肿的一种新方法。
J Indian Soc Periodontol. 2021 Mar-Apr;25(2):162-165. doi: 10.4103/jisp.jisp_189_20. Epub 2021 Mar 1.
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Injection sclerotherapy for varicose veins.静脉曲张的注射硬化疗法。
Cochrane Database Syst Rev. 2002(1):CD001732. doi: 10.1002/14651858.CD001732.
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Injection sclerotherapy for varicose veins.静脉曲张的注射硬化疗法。
Cochrane Database Syst Rev. 2006 Oct 18(4):CD001732. doi: 10.1002/14651858.CD001732.pub2.

本文引用的文献

6
Treatment of oral hemangioma with 3% sodium tetradecyl sulfate: study of 20 cases.3%十四烷基硫酸钠治疗口腔血管瘤:20例研究
Indian J Otolaryngol Head Neck Surg. 2012 Sep;64(3):205-7. doi: 10.1007/s12070-011-0249-z. Epub 2011 Apr 13.
7
Standard guidelines for care: sclerotherapy in dermatology.标准护理指南:皮肤科硬化疗法。
Indian J Dermatol Venereol Leprol. 2011 Mar-Apr;77(2):222-31. doi: 10.4103/0378-6323.77478.

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