铜针栓塞术治疗血管瘤21例概要.docVIP

医学论文免费下载 铜针栓塞术治疗血管瘤 21 例 作者：彭智 ,梁杰 ,李平 作者单位： (广东医学院隶属医院整形外 科, 广东湛江 524001) 【纲要】 目的 总结铜针治疗血管瘤的经验，探索疗效更肯定、操作更安全的铜针介入方法。方法 采用铜针介入治疗血管瘤病 21 例，用直径 1～3 mm 铜针直接或在彩超定位引导下置入瘤腔内，通 4～6 V 直流电 5～10 min 两次并留置铜针 1 周或仅留置铜针。结果 治 疗后血管瘤完全消失 15 例, 明显改良 4 例, 复发 1 例,肿瘤无进一步发展 1 例, 治愈率为 71.4%。并发症： 发热和局部疼痛 18 例，皮肤坏 死 2 例，手指运动功能障碍 1 例。结论 铜针治疗血管瘤疗效肯定，对病变局部的外观和功能影响较小， 尤其适用于基层和手术未切净血管瘤的治疗。 【重点词】 铜针 ;血管瘤 ;彩色多普勒超声 Twenty one cases of angioma treated with copper needles PENG Zhi，LIANG Jie ，LI Ping (Department of Plastic Surgery, the Affiliated Hospital of Guangdong Medical College, Zhanjiang 524001, China) 医学论文免费下载 Abstract：Objective To sum up the experience of using copper needles for the treatment of angioma and explore a more effective and safer therapy. Methods Copper needles of ～13 mm in diameter were inserted into the lesions directly or under the guidance of color Doppler ultrasonography to treat 21 cases of angioma. The copper needles were circulated with or without 4 ～6 V direct current twice, each for 5～10 minutes. Then the needles were left in place for 1 week. Results After treatment, angioma disappeared in 15 cases, shrank in 4 cases, recurred in 1 case, and sustained in 1 case. Total curative outcome is 71.4%. Complications followed with fever and local pain in 18 cases, skin necrosis in 2 cases, and malfunction of fingers in 1 case. Conclusion The therapy with copper needle embolization combined with a direct electric current might be more effective to treat angioma than did the one with copper needle embolizaion only, without obvious damage on the local appearance and function. It might be especially suitable for application in the small hospitals and in the leftover lesions after surgery. Key Words：copper needles; angioma; color Doppler ultrasonography 血管瘤按形态可分为毛细血管瘤、海绵状血管瘤、蔓状血管瘤。 由于其具种类、 时期不同以及组织学特殊等临床特点， 其临床治疗方 医学论文免费下载 法也不同。 20 世纪 90 年代出现的铜针栓塞术是一种简单、有效、创伤相对较小的治疗血管瘤及血管疾病的方法 [1] ，在彩色多普勒超声引导下进行铜针栓塞 [2] ，使治疗更为安全可靠。 1996 年以来，我院采用铜针栓塞治疗 21 例，疗效优秀 ,现报道如下。 临床资料 1.1 一般资料 本组 21 例，男 12