Tovi M, Herbreteau D, Enjolras O, Merland J J
Neuroradiologiska avdelningen, Karolinska sjukhuset, Stockholm.
Lakartidningen. 1998 Feb 11;95(7):643-7.
Cystic lymphatic malformations are haemodynamically inactive vascular malformations that never regress. During a nine-year period, 52 patients with cervico-facial superficial cystic lymphatic malformations underwent percutaneous sclerotherapy with Ethibloc (a corn-based alcohol derivative). In 57 percent (30/52) of cases, the outcome of sclerotherapy alone was excellent or good: in 19 percent (10/52), the procedure had to be combined with surgery for aesthetic reasons; and in the remaining 24 percent (12/52), the treatment failed. The results suggest percutaneous sclerotherapy with Ethibloc to be safe and effective, and that it is to be recommended as the treatment of choice in cases of superficial cystic lymphatic malformations.
囊性淋巴管畸形是血流动力学无活性的血管畸形,不会自行消退。在九年的时间里,52例患有颈面部浅表囊性淋巴管畸形的患者接受了用Ethibloc(一种玉米基酒精衍生物)进行的经皮硬化治疗。在57%(30/52)的病例中,单纯硬化治疗的效果极佳或良好;在19%(10/52)的病例中,出于美观原因,该手术必须与外科手术相结合;在其余24%(12/52)的病例中,治疗失败。结果表明,用Ethibloc进行经皮硬化治疗是安全有效的,并且在浅表囊性淋巴管畸形的病例中,推荐将其作为首选治疗方法。