- 期刊
Treatment of Vascular Malformations of the Hand Unsing Sclerotherapy
手部血管畸形症之血管硬化劑治療
摘要
過去自1989年1月到1990年12月兩年間，我們用血管硬化劑(3% Sodium tetradeoyl)治療6例手部血管畸形的病人。 這些病人均屬高血流量血管畸形，故先以結紮方式把動靜脈溝通管切斷，亦即把高血流量變成低血流量型血管畸形，在空氣止血帶控制之下，再注入血管硬化劑2 c.c.到4 c.c.，以期塞住畸形血管，而達到療效，所有病人均可得相當的症狀上之改善及進步。其中兩人有部份組織壞死之合併症。這些病人經兩年的追蹤，只有一人須在門診重複注射。這種用血管硬化劑的治療法並非根治，但可把組織的傷害及切除量減少到最低限，並須每半年追蹤一次，以便須要時隨時再追加治療。可以說是一個目前可被接受的治療方法中好的選擇之一，謹供讀者參考。
關鍵字
無資料並列摘要
From January, 1989 to December, 1990, we had treated six cases of vascular malformation of the hand using intraluminal Injection of 3% sodium tetradecyl sulfate. By understanding the anatomy and hemodynamics, we converted the high flow vascular malformation into a low flow system by ligating the arteriovenous fistulae and using a pneumatic tourniquet. Thereafter 2 to 4 c.c. of sclerosing agent was injected into the sinuses to shut off the sinusoids of the varicosities. All the patients had remission and improvement in their symptoms. Two complications were noted: a segment of phalanx was lost in one patient, and partial skin necrosis occurred in another. The patients were followed up for 2 years, and only one case had local recurrence which was controlled by another injection at the out patient bases. Compared with other procedures, this method seems to minimize the area to be sacrificed. These suggest that the operative sclerotherapy is one of the good option for the treatment of the vascular malfrmation of the hand.