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生物胶联合OK-432和平阳霉素治疗面颈部巨大静脉畸形
引用本文:陈伟良,汪延,柴强,张大明.生物胶联合OK-432和平阳霉素治疗面颈部巨大静脉畸形[J].中国口腔颌面外科杂志,2010,8(6):555-557.
作者姓名:陈伟良  汪延  柴强  张大明
作者单位:中山大学附属第二医院,口腔颌面外科,广东,广州,510120
摘    要:目的:评价生物胶联合OK-432和平阳霉素治疗面颈部巨大静脉畸形的临床疗效。方法:26例面颈部巨大静脉畸形患者,男11例,女15例;年龄4~23岁,平均年龄11.8岁。通过注射生物胶联合OK-432和平阳霉素进行治疗。所有病例均只接受1次治疗。结果:除术区2~3周肿胀外,均无严重并发症出现。随诊6~12个月(平均8.4个月),19例治愈,5例显效,2例有效,无无效病例。结论:生物胶联合OK-432和平阳霉素经皮硬化术治疗面颈部巨大静脉畸形,效果良好,并且简单、安全和可靠。

关 键 词:静脉畸形  生物胶  OK-432  平阳霉素  面颈部  硬化治疗

Percutaneous sclerotherapy of massive venous malformations of the face and neck using fibrin glue combined with OK-432 and pingyangmycin
CHEN Wei-liang,WANG Yan,CHAI Qiang,ZHANG Da-ming.Percutaneous sclerotherapy of massive venous malformations of the face and neck using fibrin glue combined with OK-432 and pingyangmycin[J].China Journal of Oral and Maxillofacial Surgery,2010,8(6):555-557.
Authors:CHEN Wei-liang  WANG Yan  CHAI Qiang  ZHANG Da-ming
Institution:.(Department of Oral and Maxillofacial Surgery,the Second Affiliated Hospital,Sun Yat-sen University.Guangzhou 510120,Guangdong Province,China)
Abstract:PURPOSE:To evaluate the clinical curative effect of percutaneous sclerotherapy of massive venous malformations of the face and neck using fibrin glue combined with OK-432 and pingyangmycin.METHODS:Twentysix patients with massive venous malformations of the face and neck region(13 males and 15 females;mean age:11.8 years,range:4-23 years) were treated with an injection of fibrin glue combined with OK-432 and pingyangmycin.All lesions received one treatment.RESULTS:All the patients had extreme swelling postoperatively for a period of 2 to 3 weeks without major complications.The follow-up period ranged from 6 to 12 months(median:8.4 months).Nineteen lesions were completely involuted,five lesions were mostly involuted,and two lesions were partially involuted.None of the lesions showed minimal involution or non-involution.CONCLUSIONS:Percutaneous sclerotherapy using fibrin glue combined with OK-432 and pingyangmycin provides a simple,safe,and reliable alternative treatment for massive venous malformations of the face and neck.
Keywords:Venous malformation  Fibrin glue  OK-432  Pingyangmycin  Face and neck regions  Sclerotherapy
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