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目的探讨CT引导下血管瘤和血管畸形硬化治疗的可行性和疗效。资料与方法回顾性分析53例经影像诊断血管瘤和血管畸形患儿资料。在CT引导下局部穿刺平阳霉素硬化治疗,采用平阳霉素2 mg、生理盐水2 ml、2%利多卡因2.5 ml、泛影葡胺1 ml。结果53例中,38例(71.7%)治愈,13例(24.5%)有效,2例无效。6例(11.3%)发生副反应。无误穿正常组织和正常组织药物渗漏现象。其中病变位于颌面部27例(50.9%)。结论CT引导下软组织内血管瘤和血管畸形平阳霉素硬化治疗,安全可靠,治愈率高,可以作为该类疾病有效的治疗手段。
Objective To investigate the feasibility and efficacy of CT-guided hemangiomas and vascular malformations. Materials and Methods Retrospective analysis of 53 cases of imaging diagnosis of hemangiomas and vascular malformations in children. Local CT-guided penetration of pingyangmycin sclerosis treatment with Pingyangmycin 2 mg, 2 ml of saline, 2% lidocaine 2.5 ml, 1 g of diatrizoate meglumine. Results Of the 53 cases, 38 (71.7%) were cured, 13 (24.5%) were effective and 2 were ineffective. Six patients (11.3%) had side effects. Correctly wear the normal tissue and normal tissue drug leakage phenomenon. Including lesions in the maxillofacial region in 27 cases (50.9%). Conclusion CT guided soft tissue hemangioma and vascular malformations Pingyangmycin sclerotherapy, safe and reliable, high cure rate, can be used as an effective treatment for such diseases.