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目的:探讨数字减影血管造影技术(DSA)透视下硬化疗法治疗儿童面颈部淋巴管畸形的疗效及优点。方法:回顾性分析2013-06-2015-06期间我院耳鼻咽喉头颈外科联合放射科采用DSA瘤内注入平阳霉素加碘海醇加注射用水三联混合液治疗48例淋巴管畸形患儿临床资料,并进行随访。结果:48例患儿,DSA透视下注射平阳霉素混合液注射1~5次,中位次数2.6次,治愈22例(45.83%),显效19例(39.58%),有效5例(10.42%),无效2例(4.17%),总有效率95.83%。随访6~18个月,外观满意,术后无严重过敏反应发生,病灶区无瘢痕、色素沉着和肺纤维化发生。结论:DSA透视下经皮硬化治疗对于瘤体巨大、不愿意接受手术的患儿是一种较好的替代治疗方法,具有定位准确,损伤小,并发症少的优点,不影响患儿的外观和功能。
Objective: To investigate the efficacy and advantages of sclerotherapy in the treatment of lymphangiogenesis of face and neck in children under digital subtraction angiography (DSA). Methods: The clinical data of 48 children with lymphangitic malformation treated by DSA intratracheal intratracheal injections of bleomycin plus iohexol plus water for injection during 2013-06-2015-06 were retrospectively analyzed. , And follow-up. Results: 48 cases were treated with injection of bleomycin (DS) for 1 to 5 times under DSA fluoroscopy, with a median of 2.6 times. 22 cases (45.83%) were cured, 19 (39.58%) were effective and 5 (10.42% ), 2 cases (4.17%) were ineffective and the total effective rate was 95.83%. Follow-up 6 to 18 months, the appearance of satisfaction, postoperative no serious allergic reaction, no scar scar area, pigmentation and pulmonary fibrosis. Conclusions: Percutaneous sclerosis under DSA is a good alternative treatment for children with large tumor and unwilling to undergo surgery. It has the advantages of accurate positioning, small injury and few complications, without affecting the appearance of children and function.