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目的探讨介入栓塞硬化治疗在外周海绵状血管瘤的疗效。方法报道8例外周海绵状血管瘤,经选择性动脉插管造影,确定为外周海绵状血管瘤,其中1例超选择将导管尖端置于病变供血动脉近端,分别给予300μmPVA颗粒、明胶海绵进行栓塞,并结合经皮注射无水乙醇、平阳霉素。结果通过栓塞和外周经皮多点、多层次、多次注射硬化剂,瘤体缩小甚至消失,病变引起的疼痛明显减轻,无严重并发症发生。结论介入栓塞、硬化治疗较手术治疗简单、安全、损伤小、疗效确切。
Objective To investigate the efficacy of interventional embolization in the treatment of peripheral cavernous hemangiomas. Methods Eight cases of peripheral cavernous hemangiomas were reported. One case of peripheral cavernous hemangiomas was selected by selective arterial catheterization. The catheter tip was placed at the proximal end of the diseased feeding artery, and 300μmPVA particles and gelatin sponge were respectively administered Embolization, combined with percutaneous injection of ethanol, Pingyangmycin. Results By embolization and peripheral percutaneous multi-point, multi-level, multiple injection of sclerosing agent, the tumor shrinks or disappears, the pain caused by the lesion was significantly reduced, no serious complications. Conclusion Interventional embolization and sclerotherapy are simple, safe, less damaging and more effective than surgical treatment.