首页|DSA引导下经皮入路应用无水乙醇联合聚桂醇治疗头颈部高回流型静脉畸形的安全性和有效性

DSA引导下经皮入路应用无水乙醇联合聚桂醇治疗头颈部高回流型静脉畸形的安全性和有效性

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目的 探讨数字减影血管造影(DSA)引导下经皮入路应用无水乙醇联合聚桂醇治疗在头颈部高回流型静脉畸形中的应用效果.方法 选取2020年2月至2023年6月在河南大学第一附属医院就诊的68例头颈部高回流型静脉畸形患者,根据治疗方法进行分组,即经DSA引导下经皮入路应用聚桂醇治疗的患者纳入对照组,经DSA引导下经皮入路应用无水乙醇联合聚桂醇治疗的患者纳入研究组.统计两组临床疗效、不良反应及并发症发生情况.结果 两组一般资料比较,差异无统计学意义(P>0.05).与对照组83.33%的临床有效率相比,研究组(97.37%)较高,差异有统计学意义(x2=4.105,P=0.043).与对照组43.33%的不良反应及并发症总发生率相比,研究组(10.53%)较低,差异有统计学意义(x2=9.623,P=0.002).结论 DSA引导下经皮入路应用无水乙醇联合聚桂醇治疗头颈部高回流型静脉畸形安全有效,具有广泛的临床应用前景.
Safety and Efficacy of DSA-Guided Percutaneous Approach of Anhydrous Ethanol Combined with Lauromacrogol in the Treatment of Head and Neck High Reflux Venous Malformation
Objective To examine the effectiveness of using anhydrous alcohol in combination with lauromacrol in the treatment of high reflux venous malformation of the head and neck by a percutaneous technique guided by digital subtraction angiography(DSA).Methods A total of 68 patients with high reflux venous malformation of head and neck treated in the First Affiliated Hospital of Henan University from February 2020 to June 2023 were selected and divided into groups according to treatment methods,patients treated by DSA-guided percutaneous approach with lauromacrogol were included in the control group,and those treated by DSA-guided percutaneous approach with anhydrous ethanol combined with lauromacrogol were included in the study group.The clinical efficacy,adverse reactions and complications of the two groups were analyzed.Results There was no statistically significant distinction in overall data between the two groups(P>0.05).The study group had a greater clinical effectiveness rate(97.37%)compared to the control group(83.33%),which was statistically significant(x2=4.105,P=0.043).The study group experienced fewer adverse reactions and problems(10.53%)compared to the control group(43.33%),with a statistically significant difference(x2=9.623,P=0.002).Conclusion DSA-guided percutaneous approach of anhydrous ethanol combined with lauromacrogol in the treatment of head and neck high reflux venous malformation is safe and effective,and has a wide clinical application prospect.

high reflux venous malformation of head and neckdigital subtraction angiographyanhydrous ethanollauromacrogol

孙明飞、饶德新、潘丽红、孟庆江、曹佩佩

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河南大学第一附属医院心血管外科,河南开封 475000

头颈部高回流型静脉畸形 数字减影血管造影 无水乙醇 聚桂醇

河南省重点研发与推广专项科技攻关项目河南省重点研发与推广专项科技攻关项目

212102310165212102310710

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(18)
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