介入栓塞联合手术切除治疗儿童巨大头面部动静脉血管瘤的初步尝试

目的:尝试应用介入栓塞和手术切除联合方案治疗儿童巨大头面部动静脉血管瘤。方法:选择复旦大学附属儿科医院1例经介入联合手术治疗的巨大头面部动静脉血管瘤患儿,总结其相关诊疗经过及影像资料,分析其诊治方案的可行性。结果:成功切除患儿病灶,术中出血可控,术后伤口愈合良好,皮瓣活力正常,患儿容貌满意。结论:介入栓塞联合手术切除可能是儿童头面部动静脉血管瘤安全有效的治疗方式,合理的制定栓塞和手术方案是治疗成功的关键。

Clinical application of interventional embolization combined with surgical resection in treatment of pediatric head and face arteriovenous hemangioma

Objective: To apply combined interventional embolization and surgical resection to treat children with giant head and face arteriovenous hemangioma. Methods: A case of giant head and face arteriovenous hemangioma treated by interventional embolization combined with surgical resection was selected from the Children''s Hospital of Fudan University. The related diagnosis and treatment process and image data were summarized to analyze the feasibility of its diagnosis and treatment plan. Results: The lesions were successfully removed, the intraoperative bleeding was controllable, the postoperative wound healed well, the flap vitality was normal, and the appearance of the child was satisfactory. Conclusions: Interventional embolization combined with surgical resection is a safe and effective treatment for pediatric head and facial arteriovenous hemangioma. Reasonable formulation of embolization and surgical plan is the key of successful treatment.