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目的 总结铜针栓塞术治疗皮肤软组织内大面积海绵状血管瘤的经验。 方法 1996~2003年治疗大面积血管瘤 18例,其中面颈部 3例,上肢 5例,下肢臀部 10例。以直径 1~3mm铜丝制成的铜针直接经皮刺入瘤腔或在彩超定位引导下将铜针置入瘤腔内,通 4~6V直流电并留置铜针 1周或者仅仅留置铜针。 结果 治疗后出现患处萎缩、硬化、体位性改变消失 18例,患肢周长缩小 13例,皮肤蓝紫色变浅接近正常 4例,患肢肿胀、沉重感减轻 1例,消失 5例,彩超显示瘤腔较治疗前缩小、血流减少 14例。 结论 铜针栓塞术治疗手术切除困难的大面积海绵状血管瘤简易、有效、创伤相对较小,尤其对儿童患者有时是唯一可行的方法。
Objective To summarize the experience of copper needle embolization in treating large area cavernous hemangiomas in skin and soft tissues. Methods From 1996 to 2003, 18 cases of large hemangiomas were treated, including 3 cases of face and neck, 5 cases of upper limb and 10 cases of hip of lower extremity. A copper needle with a diameter of 1 ~ 3mm is directly pierced into the tumor cavity by percutaneous or a copper needle is placed into the tumor cavity under the guidance of the color Doppler ultrasound, a direct current of 4 ~ 6V is applied and a copper needle is left for 1 week or just a copper needle . Results After treatment, the affected area showed atrophy, sclerosis and dislocation. Eighteen cases disappeared and the perimeter of the affected limbs were reduced. Thirteen cases were reduced in circumference of the affected limbs. The skin blue-purple became lighter and closer to normal in 4 cases. Tumor cavity narrowed before treatment, blood flow decreased in 14 cases. Conclusion Copper needle embolization is a simple, effective and traumatic procedure for the treatment of large-area cavernous hemangiomas, which are difficult to excise. It is sometimes the only feasible method for pediatric patients.