介入栓塞术在舌、面部血管瘤治疗中的临床应用

目的:研究介入栓塞术治疗舌面部血管瘤的价值。方法:在DSA下超选择插管后,采用明胶海绵加平阳霉素栓塞治疗舌面部血管瘤29例。结果:9例栓塞后2~7天外科手术治疗,术中肿瘤缩小,出血明显减少,随访1~3.5年,病变无复发;20例肿瘤缩小30%~90%,随访0.5~3年,15例病变稳定,5例病变增大再行栓塞治疗。未出现严重并发症。结论:介入方法治疗舌面部血管瘤,疗效可靠,并发症少,宜作为首选方法。

The clinical application of interventional embolization treatment in lingual and facial hemangioma

Objective: To evaluate the clinical value of interventional embolization for the treatment of lingual-facial hemangioma. Methods: By superselective catheterization under DSA, embolization with Gelfoam and PYM was performed in 29 cases. Results: Nine cases underwent surgery after embolization,there was no recurrence of lesions in follow-up period of 1 to 3.5 years. The lesions reduced 30% to 90% in 20 cases. At follow-up of 0.5 to 3 years, the lesions had no change in 15 cases,became bigger in 5 cases. No serious complications were encountered in all patients. Conclusion: Interventional embolization is a safe and effective therapy for lingual-facial hemangioma, and should be taken as the first choice of treatment.