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颌面部海绵状血管瘤的瘤体造影分型与介入硬化治疗 被引量:51

The angiographic classification and sclerotherapy of cavernous hemangiomas of maxilloface
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摘要 目的 寻找影响颌面部海绵状血管瘤治疗效果的因素 ,探讨理想的治疗方法。方法 对 10 2例颌面部海绵状血管瘤常规行瘤体穿刺 (digitalsubtractionangiography ,DSA)连续采集多帧图像 ,根据瘤体回流静脉的粗细、多少及回流速度将海绵状血管瘤分为高回流和低回流 2种类型。对两类瘤体分别随机采用无水乙醇回流静脉栓塞 +平阳霉素瘤内注射 (Ⅰ组 )和单纯平阳霉素瘤内注射 (Ⅱ组 )进行治疗。结果  70例高回流型瘤体的两组治愈率及总有效率比较差异均有非常显著性 (P <0 0 1) ;32例低回流型瘤体的两组治愈率及总有效率比较差异均无显著性 (P >0 0 5 )。结论 新的分型有利于治疗方法的选择和预后优劣的判断。回流静脉栓塞是治疗高回流型海绵状血管瘤的有效方法 ,低回流型海绵状血管瘤单纯行平阳霉素瘤内注射即可取得好的效果。 Objective To explore the factors that affect the curative effect and the best method of treatment for the patients with maxillofacial cavernous hemangiomas Methods 102 cases of maxillofacial cavernous hemangiomas were performed DSA examination and taken serial photographys According to the diameter, number and draining speed of efferent veins of the tumor, the cavernous hemangiomas were classified into two types the high efferent speed and low efferent speed type For all of them, were randomly performed embolization of efferent veins with absolute ethanol plus bleomycin A5 intratumor injection (groupⅠ) and bleomycin A5 intratumor injection alone (groupⅡ) Results The cure rate and general effective rate has significant difference ( P <0 01) between two groups in 70 patients with high efferent speed veins, while no significant difference ( P >0 05) in 32 petients with low efferent speed veins Conclusions This new cassification is benificial for seeking method of treatment The embolization of efferent veins is an effective mathod for cavernous hemangioma with high efferent speed veins; but for the type with low efferent speed veins, bleomycin A5 intratumor injection alone could acquire a good results
出处 《中华口腔医学杂志》 CAS CSCD 北大核心 2002年第1期27-29,T006,共4页 Chinese Journal of Stomatology
基金 山东省科技攻关计划基金资助项目 ( 9812 16 5 17)
关键词 颌面部海绵状血管瘤 血管造影术 栓塞治疗 DSA 分型 介入硬化治疗 Hemangioma,cavernous Angiography Embolization, therapeutic
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