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在超声和荧光透视引导下，采用“造影剂洗脱技术”进行单针经皮泡沫硬化治疗，以治疗一名小儿患者的慢血流胸壁血管畸形。

Single-needle percutaneous foamed sclerotherapy using ultrasound and fluoroscopy guidance using "contrast washout technique" for the treatment of a slow-flow chest wall vascular malformation in a pediatric patient.

作者信息

Guragai Mandeep, Bhatt Swechha, Vaidya Satish, Karmacharya Robin Man, Malinowski Michael J

机构信息

Department of Surgery, Cardiothoracic and Vascular Surgery Unit, Dhulikhel Hospital, Kathmandu University Hospital, 45210 Dhulikhel, Kavre, Bagmati Province, Nepal.

Division of Vascular Surgery, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, United States.

出版信息

J Surg Case Rep. 2025 Jul 13;2025(7):rjaf487. doi: 10.1093/jscr/rjaf487. eCollection 2025 Jul.

DOI:10.1093/jscr/rjaf487
PMID:40656148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12256104/
Abstract

Venous malformations (VMs) are the most common type of vascular malformation. In resource-limited settings, treating these with minimally invasive and cost-effective approaches can achieve optimal outcomes. We present the case of a 7-year-old child with a large, slow-flow VM on the right anterior chest wall, successfully treated with ultrasound- and fluoroscopy-guided foam sclerotherapy using polidocanol via the ``contrast washout'' technique. The procedure resulted in significant lesion resolution with no post-procedural pain. In addition to its effectiveness, this approach also spares patients from extensive surgical interventions, making it a valuable treatment option for pediatric VMs.

摘要

静脉畸形（VMs）是最常见的血管畸形类型。在资源有限的环境中，采用微创且经济有效的方法治疗这些疾病可取得最佳效果。我们报告一例7岁儿童，其右前胸壁有一个大的、低流速的静脉畸形，通过“造影剂冲洗”技术，使用聚多卡醇在超声和透视引导下进行泡沫硬化治疗，成功治愈。该手术使病变明显消退，术后无疼痛。除了有效性外，这种方法还使患者无需进行广泛的手术干预，使其成为小儿静脉畸形的一种有价值的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/0ad97c832549/rjaf487f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/5776c59a05a3/rjaf487f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/0b8db94882be/rjaf487f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/69c0a8372aca/rjaf487f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/ce3f3af0ea77/rjaf487f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/191da0aa7b04/rjaf487f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/0ad97c832549/rjaf487f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/5776c59a05a3/rjaf487f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/0b8db94882be/rjaf487f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/69c0a8372aca/rjaf487f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/ce3f3af0ea77/rjaf487f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/191da0aa7b04/rjaf487f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14d8/12256104/0ad97c832549/rjaf487f6.jpg

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本文引用的文献

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Pitfalls in Ultrasound Diagnosis of Vascular Malformations: A Retrospective Review of 14 Nonvascular Tumors Treated as Vascular Malformations.血管畸形超声诊断中的陷阱：对14例被误诊为血管畸形的非血管性肿瘤的回顾性研究
Diagnostics (Basel). 2025 Feb 19;15(4):506. doi: 10.3390/diagnostics15040506.
2
Intralesional bleomycin sclerotherapy for head and neck low-flow vascular malformations - A retrospective single-center experience.博来霉素瘤内硬化疗法治疗头颈部低流量血管畸形——一项单中心回顾性研究
J Craniomaxillofac Surg. 2025 Apr;53(4):332-339. doi: 10.1016/j.jcms.2024.12.015. Epub 2025 Jan 5.
3
Outcome evaluation for the treatment of low flow venous and lymphatic malformations.
低流量静脉和淋巴管畸形治疗的疗效评估
CVIR Endovasc. 2024 Nov 29;7(1):84. doi: 10.1186/s42155-024-00493-z.
4
The VASCERN-VASCA Working Group Diagnostic and Management Pathways for Venous Malformations.VASCERN-VASCA静脉畸形工作组诊断与管理路径
J Vasc Anom (Phila). 2023 Mar 23;4(2):e064. doi: 10.1097/JOVA.0000000000000064. eCollection 2023 Jun.
5
Clinical results of polidocanol sclerotherapy in venous malformation treatment: Patient-perceived improvement and satisfaction.聚多卡醇硬化疗法治疗静脉畸形的临床结果：患者感知的改善与满意度。
Phlebology. 2023 Feb;38(1):36-43. doi: 10.1177/02683555221142531. Epub 2022 Nov 26.
6
Clinical and Radiological Correlation of Low Flow Vascular Malformation Treated With Percutaneous Sclerotherapy.经皮硬化治疗低流量血管畸形的临床与影像学相关性
Can Assoc Radiol J. 2023 May;74(2):415-421. doi: 10.1177/08465371221128696. Epub 2022 Sep 27.
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ISSVA Classification of Vascular Anomalies and Molecular Biology.ISSVA 血管异常分类与分子生物学。
Int J Mol Sci. 2022 Feb 21;23(4):2358. doi: 10.3390/ijms23042358.
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