[1]李比,朱力,夏有辰,等.铜针栓塞术治疗皮肤软组织内大面积海绵状血管瘤[J].中国微创外科杂志,2005,05(3):236-238.
　Li Bi,Zhu Li,Xia Youchen,et al.Treatment of huge subcutaneous cavernous hemangioma using copper needles[J].Chinese Journal of Minimally Invasive Surgery,2005,05(3):236-238.
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铜针栓塞术治疗皮肤软组织内大面积海绵状血管瘤()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
05
期数:
2005年3期
页码:
236-238
栏目:
出版日期:
2005-03-31

文章信息/Info

Title:
Treatment of huge subcutaneous cavernous hemangioma using copper needles
作者:
李比; 朱力; 夏有辰; 李东; 王侠; 马勇光; 李健宁; 牛星焘; 王大玫
北京大学第三医院成形科,北京,100083
Author(s):
Li Bi;  Zhu Li;  Xia Youchen;  et al.
Department of Plastic Surgery, Peking University Third Hospital, Beijing 100083, China
关键词:
海绵状血管瘤;  铜针;  栓塞
Keywords:
Cavernous hemangioma; 　Copper needle; 　Embolization
分类号:
R732.2
文献标志码:
A
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1～3 mm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4～6 V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.
Abstract:
Objective　To sum up the experience of copper needle embolization for huge subcutaneous cavernous hemangioma.　M ethods　Eighteen cases ofhuge 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 to2003. Needlesmade from copperwire 1~3mm in diameterwere inserted into the lesions, through the skin directly or under the guidance of colorDoppler ultrasonography. The copper needleswere left in place for1 week, with orwithout4~6 V directcurrentcirculated for5~10min twice.　Results　The therapeutic outcomes included: the shrinking and sclerotization of the hemangioma with the disappearance of postural changes (18 cases), the decrease of circumference of the involved limb (13 cases), the change of the lesion skin from blue-purple to lightornormal in color (4 cases), the subsidence or disappearance of swelling and heavy feeling of the involved limb (5 cases), and the regression of the lesion and the reduction of blood flow under color ultrasonography (14 cases).　Conclusions　Copper needle embolization is a simple, effective and relatively less invasivemethod for the treatmentofhuge subcutaneous cavernous hemangioma that is difficult to be resected. It at timesmay be the only applicable option for children.

参考文献/References:

[1]Li ZP. Therapeutic coagulation induced in cavernous hemangioma by use of percutaneous copper needles. Plast Reconstr Surg, 1992,89:613-622.
[2]王大玫,李建宁,张科军,等.铜针留置术治疗海绵状血管瘤.中华整形烧伤外科杂志,1993,9:321-324.
[3]Wang DM, Zhang KJ, Gao S, et al. Treatment of peripheral vascular disorders using copper needles. Asian J Surg, 1997,20:47-51.
[4]李比,牛星焘,王大玫,等. 彩超辅助下的皮下深部软组织内海绵状血管瘤的诊治. 中国修复重建外科杂志,2002,16:193-194.
[5]赵新民,高善岭,杨金庆,等. 超声对铜针治疗海绵状血管瘤的疗效观察.中华整形烧伤外科杂志,1995, 11:358-361.
[6]王大玫,李建宁,主编. 现代整形外科诊疗手册. 北京:北京医科大学、中国协和医科大学联合出版社,1997.356-358.
[7]陈明福,王标,李红,等.海绵状血管瘤综合治疗. 中国美容医学,2001,10:484-485.
[8]张科军,张建锋,王大玫. 铜针留置术治疗血管性疾病. 中华医学美学美容杂志,2002,8:167-168.
[9]李东,贾铁利,秦荣生,等.铜针电栓塞血管的机制研究. 中国修复重建外科杂志,2001,15:42-45.
[10]许和平,肖耀明,周艳贞.铜针通电治疗血管瘤并发急性溶血的临床与实验研究. 中华整形外科杂志,2001,17:37-38.

更新日期/Last Update: 2014-03-11