铜针栓塞术治疗皮肤软组织内大面积海绵状血管瘤

　　【英文篇名】Treatment of huge subcutaneous cavernous hemangioma using copper needles

　　【作者中文名】李比; 朱力; 夏有辰; 李东; 王侠; 马勇光; 李健宁; 牛星焘; 王大玫;

　　【作者英文名】Li Bi; Zhu Li; Xia Youchen; et al. Department of Plastic Surgery; Peking University Third Hospital; Beijing 100083; China;

　　【作者单位】北京大学第三医院成形科; 北京大学第三医院成形科 北京;

　　【文献出处】中国微创外科杂志, Chinese Journal of Minimally Invasive Surgery, 编辑部邮箱 2005年 03期

　　期刊荣誉：ASPT来源刊 CJFD收录刊

　　【关键词】海绵状血管瘤; 铜针; 栓塞;

　　【英文关键词】Cavernous hemangioma; Copper needle; Embolization;

　　【摘要】目的总结铜针栓塞术治疗皮肤软组织内大面积海绵状血管瘤的经验。方法1996~2003年治疗大面积血管瘤 18例,其中面颈部 3例,上肢 5例,下肢臀部 10例。以直径 1~3mm铜丝制成的铜针直接经皮刺入瘤腔或在彩超定位引导下将铜针置入瘤腔内,通 4~6V直流电并留置铜针 1周或者仅仅留置铜针。结果治疗后出现患处萎缩、硬化、体位性改变消失 18例,患肢周长缩小 13例,皮肤蓝紫色变浅接近正常 4例,患肢肿胀、沉重感减轻 1例,消失 5例,彩超显示瘤腔较治疗前缩小、血流减少 14例。结论铜针栓塞术治疗手术切除困难的大面积海绵状血管瘤简易、有效、创伤相对较小,尤其对儿童患者有时是唯一可行的方法。

　　【英文摘要】Objective To sum up the experience of copper needle embolization for huge subcutaneous cavernous hemangioma. Methods Eighteen cases of huge hemangioma, located at the face and neck (3 cases), the upper limbs (5 cases), or the lower limbs and buttocks (10 cases), respectively, were treated from 1996 to 2003. Needles made from copper wire 1~3 mm in diameter were inserted into the lesions, through the skin directly or under the guidance of color Doppler ultrasonography. The copper needles were left in place…

　　【DOI】cnki:ISSN:1009-6604.0.2005-03-00Y