铜针栓塞术治疗皮肤软组织内大面积海绵状血管瘤

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.

Treatment of huge subcutaneous cavernous hemangioma using copper needles

Objective To sum up the experience of copper needle embolization for huge subcutaneous cavernous hemangioma. Methods Eighteen cases of huge 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 to 2003. Needles made from copper wire 1~3 mm in diameter were inserted into the lesions, through the skin directly or under the guidance of color Doppler ultrasonography. The copper needles were left in place for 1 week, with or without 4~6 V direct current circulated for 5~10 min 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 light or normal 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 invasive method for the treatment of huge subcutaneous cavernous hemangioma that is difficult to be resected. It at times may be the only applicable option for children.