通过皮肤进行硬化疗法,部分切除和脉冲染色激光治疗唇动脉静脉形缺陷的多式疗法:一个案例系列
K Ishikawa1, S Mitamura1, Y Sasaki1
1Department of Plastic and Reconstructive Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan; Centre for Vascular Anomalies, Department of Plastic and Reconstructive Surgery, Tonan Hospital, Sapporo, Japan.
这项研究表明,结合硬化疗法,切除术和激光治疗的多式疗法对唇动脉静脉形 (AVM) 有效. 这种方法使所有患者的治疗结果得到控制或改善,并并发症最小.
科学领域:
- 血管外科 血管外科
- 皮肤病学 皮肤病学
- 干预性放射学 干预性放射学
背景情况:
- 唇动脉静脉形 (AVM) 是一种罕见的血管异常,具有显著的功能和美学挑战.
- 对唇部AVM的有效管理策略对于改善患者的生活质量至关重要.
研究的目的:
- 评价唇部AVM多模式治疗方法的有效性和安全性.
- 评估结合穿皮硬化疗法,部分切除和脉冲染色激光疗法的结果.
主要方法:
- 在2008年至2019年期间接受治疗的20名唇部AVM患者的回顾性评估.
- 超声指导的皮肤穿透性硬化疗法,使用聚醇 (±乙醇),根据需要补充部分切除和脉冲染色激光疗法.
- 接近红外的光成像和机械压缩用于对硬化剂的输送进行优化.
主要成果:
- 所有20名患者都取得了"受控" (9名患者) 或"改善" (11名患者) 的临床结果.
- 需要平均三次硬化疗法,平均随访时间为58个月.
- 并发症不常见,包括粘膜和伤口脱光症的病例.
结论:
- 一个阶段性的多模式方法,结合穿皮硬化疗法,部分切除和脉冲染色激光,是对唇部AVM的安全有效治疗方法.
- 这种综合策略为管理复杂的唇血管异常提供了有利的结果和较低的并发症率.
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