数字减影血管造影引导下血管内栓塞联合经皮穿刺硬化治疗体表血管畸形20例

摘要

Objective: To evaluate the effect of the treatment vascular malformation with endovascular embolization through percutaneous guided by digital subtraction angiography ( DSA). Methods: Twenty cases with vascular malformation on surface were confirmed according to clinical and imaging features ( including artery malformation 7 cases, vein malformation 9 cases, arteriovenous malformation 4 cases). Eleven cases of artery and arteriovenous malformation were treated with bleomycin and polyvingl alcohd, the other 9 cases were injected with bleomycin and ethanol guided by DSA,each course interval was 3 weeks. Results:The anomalies in 12 cases were cured, favorable improvement in 8 cases. No cases appeared tissue necrosis and skin burst. Conclusions: The treatment mothod for vascular malformation is easy,safe and effective,and can reduce or avoid complications,worth populararizing in clinical practice.%目的 总结数字减影血管造影(DSA)引导下血管内栓塞联合经皮穿刺硬化治疗体表血管畸形的技术方法与疗效.方法 20例经临床表现及相关影像学诊断为体表血管畸形(动脉畸形7例,静脉畸形9例,混合畸形4例),其中动脉畸形7例和混合畸形4例采取血管内平阳霉素+聚乙烯醇颗粒或碘化油等栓塞治疗,静脉畸形9例采取DSA引导下经皮硬化穿刺平阳霉素+无水乙醇硬化,多次序贯治疗,每疗程间隔3周.结果 治愈12例,好转8例.无一例发生局部组织坏死、皮肤破溃等情况.结论 DSA引导下血管内栓塞联合经皮穿刺硬化治疗体表血管畸形操作简便、安全可靠、无瘢痕、创伤小,可有效减少或避免并发症的发生,提高治疗效果,值得临床推广.