摘要
目的探讨经静脉无水乙醇介入栓塞治疗下肢Klippel-Trénaunay综合征(KTS)的边缘静脉的安全性及有效性。方法收集2019年9月至2020年9月西安国际医学中心医院收治的88例下肢KTS患者临床资料。术后3~6个月进行随访,观察治疗后边缘静脉闭合情况及并发症发生情况。结果术后6个月,边缘静脉闭合率为82.61%;术中出现一过性肺动脉高压和低氧血症;术后出现血红蛋白尿、一过性发热、呕吐、局部疼痛或关节活动出现疼痛、一过性腓总神经麻痹、穿刺部位感染伴高热、边缘静脉治疗区域一过性皮肤水肿和色素沉着均缓解;皮肤坏死或溃疡均<2 cm,愈合后形成瘢痕而无功能障碍。结论根据边缘静脉造影分型采取适当的流出道阻断技术后,无水乙醇栓塞治疗下肢KTS的边缘静脉具有较高的闭合率,术后并发症均较少。
Objective To investigate the effect of transvenous ethanol embolization for the lateral marginal vein of Klippel-Trénaunay syndrome(KTS)in the lower extremity.Method The clinical data of 88 patients with lower extremity KTS admitted to Xi’an International Medical Center Hospital from September 2019 to September 2020 were collected.The duration of follow-up was three to six months.The marginal vein closure and complications were observed after treatment.Result Six months after the operation,the marginal vein closure rate was 82.61%.Transient pulmonary hypertension and hypoxemia occurred during the procedure.Hemoglobinuria,transient fever,vomiting,local pain,or joint pain occurred after the operation.Transient peroneal nerve palsy,puncture site infection with high fever,transient skin edema,and pigmentation in the treatment area of marginal veins were all relieved.Skin necrosis or ulcers were less than 2 cm,and scars healed without dysfunction.Conclusion According to the appropriate outflow tract blocking technology based on the classification of marginal venography,the marginal vein of the lower extremity KTS treated with ethanol embolization obtains a higher closure rate with fewer postoperative complications.
作者
王怀杰
谢崇
蔺卫龙
周金榜
杨伟家
郭正团
Wang Huaijie;Xie Chong;Lin Weilong;Zhou Jinbang;Yang Weijia;Guo Zhengtuan(Department of Pediatric Surgery,Xi'an International Medical Center Hospital,Xi'an 710010,Shaanxi,China)
出处
《血管与腔内血管外科杂志》
2021年第3期297-300,共4页
Journal of Vascular and Endovascular Surgery
