摘要
目的探讨腔内半导体激光在面部静脉畸形硬化治疗外形改善困难患儿中的应用价值。方法收集2023年2月至2024年2月郑州大学附属儿童医院收治的12例面部静脉畸形硬化治疗后外形改善困难患儿的临床资料,均采用腔内半导体激光治疗,随访外形改善及病灶缩小程度,评估治疗效果。结果术后3个月,12例患儿外形均明显改善,PAC-QOL心理不适评分为(10.4±3.9)分,与治疗前(23.7±4.3)分比较,差异有统计学意义(P<0.05)。核磁治疗前后对比,病灶无明显改善0例,中度改善1例,显著改善4例,治愈7例。结论腔内半导体激光在面部静脉畸形硬化治疗外形改善困难患儿中疗效显著,具有较高的临床应用价值。
Objective To discuss the application value of intracavitary semiconductor laser therapy in improving facial appearance for child patients with facial venous malformations(VM)after receiving sclerotherapy.Methods The clinical data of 12 child patients with facial VM after receiving sclerotherapy,for whom the improvement of their facial appearance was difficult and who were admitted to the Affiliated Children′s Hospital of Zhengzhou University of China from February 2023 to February 2024,were retrospectively analyzed.Intracavitary semiconductor laser treatment was adopted in all the 12 child patients.All the child patients were followed up to check the degree of appearance improvement and lesion volume reduction,and the curative effect was evaluated.Results Three months after intracavitary semiconductor laser treatment,obvious improvement of facial appearance was obtained in all the 12 child patients.The mean postoperative PAC-QOL psychological discomfort score was(10.4±3.9)points,when compared with the preoperative(23.7±4.3)points the difference was statistically significant(P<0.05).MRI examination showed that after treatment no obvious improvement of the lesion was seen in0 case,moderate improvement in one case,significant improvement in 4 cases,and cure in 7 cases.Conclusion Intracavitary semiconductor laser therapy has significant therapeutic effect in improving facial appearance for child patients with facial VM after receiving sclerotherapy,for whom the improvement of their facial appearance is difficult,therefore,this therapy has high clinical application value.
作者
丁语
皮梦奇
赵磊
徐伟洋
徐淼
范新东
DING Yu;PI Mengqi;ZHAO Lei;XU Weiyang;XU Miao;FAN Xindong(Department of Interventional Hemangioma&Vascular Surgery,Affiliated Children's Hospital,Zhengzhou University,Zhengzhou,Henan Province 450018,China)
出处
《介入放射学杂志》
北大核心
2025年第7期742-745,共4页
Journal of Interventional Radiology
关键词
腔内半导体激光
面部静脉畸形
外形改善困难
硬化治疗
intracavitary semiconductor laser
facial venous malformation
difficulty in improving appearance
sclerotherapy
