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目的探讨在超声引导下腔内注射治疗体表静脉畸形的方法和临床疗效。方法在超声引导下采用无水乙醇、平阳霉素局部腔内注射治疗体表静脉性血管畸形,观察瘤体消退及并发症发生情况。疗效评价标准:无效为瘤体无缩小;有效为瘤体缩小40%以下;显效为瘤体缩小41%~80%,色泽接近正常;治愈为瘤体缩小81%~100%,表面色泽正常。结果本组63例患者获随访3~24个月,其中治愈46例(73%),显效12例(19%),有效3例(4%),无效2例(3%)。无一例出现肺纤维化、贫血、肝肾功能损害等并发症。结论超声引导可提高体表静脉畸形腔内注射操作的准确性、安全性及有效性。
Objective To investigate the method and clinical efficacy of intracavitary injection for surface venous malformation under ultrasound guidance. Methods Under the guidance of ultrasound, absolute ethanol and pingyangmycin were used to treat surface venous vascular malformations and the regression of the tumor and the complication were observed. Efficacy of the evaluation criteria: ineffective for the tumor did not shrink; effective reduction of less than 40% of the tumor; markedly reduced 41% to 80% of the tumor, the color close to normal; cured for the tumor narrowed 81% to 100%, the surface of normal color. Results The 63 patients were followed up for 3-24 months. 46 cases were cured (73%), 12 (19%) were cured, 3 (4%) were effective and 2 (3%) were ineffective. No case of pulmonary fibrosis, anemia, liver and kidney dysfunction and other complications. Conclusion Ultrasound guidance can improve the accuracy, safety and effectiveness of intracavitary injection of body surface venous malformations.