【摘要】 目的探讨儿童头颈部血管畸形介入治疗栓塞剂的选择与应用。资料与方法对33例栓塞治疗患儿所选用的血管内栓塞材料,结合栓塞术后远期疗效予以总结。33例中,血管畸形发生于头面部24例,颈肩部9例。栓塞术中采用动脉选择或超选择性插管技术,向靶血管内分别释放的栓塞材料为:(1)弹簧圈;(2)弹簧圈、明胶海绵颗粒、硬化剂组合;(3)明胶海绵颗粒、条、硬化剂组合;(4)明胶海绵条、硬化剂组合等实施动静脉瘘、畸形血管网和导入动脉的栓塞。结果29例(88%)患儿通过栓塞治疗获痊愈,经1～5年追踪随访疗效稳定,4例(12%)经2年以上随访观察栓塞治疗有效。结论针对儿童头颈部血管畸形,应用弹簧圈+明胶海颗粒+硬化剂;明胶海绵颗粒+条+硬化剂;明胶海绵条+硬化剂等组合栓塞剂,实施栓塞治疗均能获得持久而稳定的疗效。更多还原

【Abstract】 Objective To discuss the embolism material selection and application of children’s vascular malformation in head and neck.Materials and Methods Embolism material selection with clinical effect in 33 patients was summarized.Head and face vascular malformations were occurred in 24 children,9 children with neck and shoulder vascular malformations.Selection or superselection artery catheter technique was used.Embolism materials included:(1) Steel wire collar;(2)Steel wire collar,absorbable gelatin sponge and hardener assembly;(3) Absorbable gelatin sponge bar,granule and hardener assembly;(4) Absorbable gelatin sponge bar and hardener assembly.Results 29(88%) cases were recovered by embolism therapy,therapeutic effectiveness was stable after 1～5 years.4(12%) cases were effective in observation of 2 years.Conclusion Applications of combining with various embolism material is effective to children’s vascular malformation in head and neck更多还原