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报告儿童颈内静脉扩张症17例,男12例,女5例,年龄3~12岁。右侧9例,左侧6例,双侧2例。治疗方法:大腿阔筋膜包裹2例,Teflon布片包裹3例,单纯结扎3例,平阳霉素局部注射10例(其中1例系阔筋膜包裹术后4年复发者)。随访4个月~9年,均取得满意疗效。我们认为由于儿童阔筋膜发育差,强度低,用阔筋膜包裹后易复发,还增加手术创伤。结扎扩张的静脉,操作简单,但不适合双侧扩张患者。平阳霉素局部注射适于术后复发患者。Teflon布材料易得、价格便宜,用其包裹扩张的静脉,不影响静脉血回流,是一种较好的手术方法。
Report 17 cases of children with jugular vein dilatation, 12 males and 5 females, aged 3 to 12 years old. Right side in 9 cases, left 6 cases, bilateral in 2 cases. Treatment: 2 cases of thigh fascia lata, 3 cases of Teflon cloth wrapped, 3 cases of simple ligation, Pingyangmycin local injection of 10 cases (including 1 case of lacrimal fascia after 4-year relapse). Follow-up 4 months to 9 years, have achieved satisfactory results. We believe that due to poor lamellar fascia development in children, low intensity, easy to relapse after lacrimal fascia, but also increase the surgical trauma. Ligation of dilated veins, simple operation, but not suitable for patients with bilateral dilatation. Pingyangmycin local injection for postoperative recurrence patients. Teflon fabric material is easy to get, cheap, wrapped with its expansion of the vein, does not affect venous return, is a better surgical method.