首页|经导管动脉硬化栓塞治疗婴幼儿血管瘤的临床效果及安全性分析

经导管动脉硬化栓塞治疗婴幼儿血管瘤的临床效果及安全性分析

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目的 探讨经导管动脉硬化栓塞治疗婴幼儿血管瘤(IH)的临床效果及安全性.方法 90例血管瘤婴幼儿随机分为两组,对照组采用环形缝扎术治疗,观察组采用经导管动脉硬化栓塞治疗,比较两组的临床疗效、瘢痕美观度、并发症和复发率.结果 观察组的治疗总有效率、并发症总发生率及术后6个月复发率与对照组比较,差异均无统计学意义(P>0.05).术后1个月,观察组的VSS色泽、血管分布、柔软度、厚度评分均低于对照组(P<0.05).结论 经导管动脉硬化栓塞与环形缝扎术治疗IH的近远期效果与安全性相当,但前者能明显提高瘢痕美观度.
Analysis on the Clinical Effect and Safety of Transcatheter Arterial Embolization in the Treatment of Infantile Hemangioma
Objective To explore the clinical effect and safety of transcatheter arterial embolization in the treatment of infantile hemangioma(IH).Methods 90 infants with hemangioma were randomly divided into two groups.The control group was treated with circular suture,and the observation group was treated with transcatheter arterial embolization.The clinical efficacy,scar aesthetics,complications and recurrence rate were compared between the two groups.Results No significant difference was found in the total effective rate of treatment,the total incidence of complications and the recurrence rate at 6 months after surgery between the observation group and the control group(P>0.05).One month after surgery,the VSS scores of color,vascular distribution,softness and thickness in the observation group were lower than those in the control group(P<0.05).Conclusions Transcatheter arterial embolization and circular suture have comparable short-term and long-term effects and safety in the treatment of IH,but the former can significantly improve the scar aesthetics.

Infantile hemangiomaTranscatheter arterial embolizationEfficacyScar aestheticsSafety

胡靖、王菲、张景岚、刘景、时胜利

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郑州大学附属河南省儿童医院介入医学和血管瘤科,河南郑州 450053

婴幼儿血管瘤 经导管动脉硬化栓塞 疗效 瘢痕美观度 安全性

河南省医学科技攻关计划联合共建项目

LHGJ20210688

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(4)
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