铜针栓塞术治疗婴幼儿海绵状血管瘤的临床应用及探讨

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钢针栓塞术是近年来出现的一项新技术,主要用于海绵状血管瘤的治疗。由于这种方法操作简便易行,患儿痛苦小,疗效肯定,所以值得推广.我科自1994年至今共收治9例患者,治疗效果很好,现报告如下.1 一般资料 9例患者,年龄最小3个月,最大5岁.其中颌面部血管瘤5例,手部3例,脚部1例。资料分为两组,一组是发病位置在手脚部位,便于固位,采用钢针留置法,4例患者均一次性治愈.另一组是瘤体位置在颌面部,不易固位,采用短时钢针通电法,5例患者中,2例一次性治愈,余3例行二次治疗彻底治愈.9例患者术后均随访,最长随诊18个月,最短6个月,未见复发.2 典型病例某女,5岁,右手食指近指关节区肿物,呈环形包绕关节,表面外观略呈紫色有明显压缩性体位试验阳性,确诊为海绵状血管瘤.取4根长5cm直径2mm铜针,在全麻下每隔1cm刺入一根,直达窦腔。取一形状如手的纤维板置于掌侧,使手 Needle embolization is a new technology emerging in recent years, mainly for the treatment of cavernous hemangiomas. Because of this method is simple and easy to operate, children with small pain, efficacy is certainly, it is worth promoting.Our department since 1994 treated a total of 9 patients, the treatment effect is good, are as follows.1 General Information 9 patients, age Minimum 3 months, maximum 5 years old.Among them, 5 cases of maxillofacial hemangioma, 3 cases of hand and 1 case of foot. Data are divided into two groups, one is the incidence of location in the hands and feet site, easy retention, the use of needle retention method, 4 patients were one-time cure.Another group is the tumor location in the maxillofacial region, not easy to retention, using Short-term electroplating needle method, 5 patients, 2 cases of a one-time cure, more than 3 cases of second cure completely cured .9 patients were followed up, the longest follow-up of 18 months, minimum 6 months, not See the recurrence .2 A typical case of a woman, 5 years old, right index finger near the knuckle area tumor, a ring around the joints, the surface appearance of a slightly purple compressive position test was positive, diagnosed as cavernous hemangioma take four Length 5cm diameter 2mm copper needles, punctured every 1cm under general anesthesia, direct access to the sinus cavity. Take a shape of the hand like a fiberboard placed on the palmar side and make hands
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