Efficacy analysis of interventional sclerotherapy for cystic lymphatic malformation
10.3969/j.issn.1002-1671.2024.03.025
- VernacularTitle:囊性淋巴管畸形介入硬化治疗的疗效分析
- Author:
Xiaodong YANG
1
;
Qianlong LIU
;
Xinkui GUO
;
Qiang LIU
Author Information
1. 西安交通大学第二附属医院 医学影像科,陕西 西安 710000
- Keywords:
lymphatic malformation;
sclerotherapy;
interventional
- From:
Journal of Practical Radiology
2024;40(3):452-455
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy and safety of interventional sclerotherapy for cystic lymphatic malformation(cLM).Methods A total of 92 cases of cLM were enrolled in this study.Forty-seven cases were macrocystic lymphatic malformation(LM),32 cases were mixed LM,and 13 cases were microcystic LM.At the first treatment,56 cases with clear or light yellow cystic fluid were defined as non-bleeding group;Thirty-six cases with cloudy or dark red cystic fluid were defined as bleeding group.Sclero-therapy was performed under the guidance of fluoroscopy or ultrasonic(US),followed by an outpatient or a telephone follow-up at least 3 months after operation.Results Ninety-two patients received 140 times of interventional sclerotherapy,with an average of 1.53 times.The overall cure rate was 56.5%and the overall effective rate was 95.7%.The results of subgroup analysis showed that the overall effective rate of macrocystic and mixed LM was higher than that of microcystic LM,while the overall effective rate of macrocystic and mixed LM had no statistical difference.The cure rate of macrocystic LM was higher than that of mixed and microcystic LM,but there was no significant difference between mixed and microcystic LM.Besides,there were no statistical differences in the overall effective rate and the cure rate between the bleeding group and the non-bleeding group.Conclusion Interventional sclerotherapy is a safe and effective treatment for cLM patients.The efficacy of interventional sclerotherapy is not affected by the presence or absence of intracapsular hemorrhage during the first treatment.
