Minimally invasive radiofrequency ablation for Kasabach-Merritt phenomenon
10.3760/cma.j.cn114453-20210421-00178
- VernacularTitle:射频消融手术治疗卡梅现象
- Author:
Junbo QIAO
1
;
Junjie LIN
;
Haoran ZHANG
;
Wenqiu WANG
;
Dexin ZHANG
;
Junhua LI
;
Bin FANG
;
Yujiao WANG
;
Changkuan CHEN
;
Hongye YU
Author Information
1. 郑州大学第三附属医院血管瘤外科 河南省血管瘤与血管畸形医学重点实验室 450003
- Keywords:
Radiofrequency ablation;
Kasabach-Merritt phenomenon;
Hemangioma;
Operation
- From:
Chinese Journal of Plastic Surgery
2021;37(12):1345-1349
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the therapeutic effect of radiofrequency ablation in the treatment of severe hemangioma with thrombocytopenia and coagulation abnormality (Kasabach-Merritt phenomenon, KMP).Methods:From April 2018 to April 2021, 11 cases of KMP in our department were retrospectively analyzed. The patients underwent MRI, color ultrasound and hematology examination. Radiofrequency ablation was performed for all patients under general anesthesia. The comprehensive, multi-level and multi-point ablation was accurately implemented under the whole-process intraoperative monitoring of color ultrasound. Postoperative ice pad was applied for the treatment area, and dressing change was carried out every day.Results:All 11 cases of KMP were treated with radiofrequency ablation, including 5 males and 6 females, aged 1 d to 2 months, with a median age of 15 d. Intraoperative color Doppler ultrasound monitoring showed that the tumor was completely ablated in the single operation. All patients were followed up for 0.5 to 2 years. The tumor was cured without recurrence. The local function was unaffected. The local scar formation was mild and the appearance was satisfactory.Conclusions:Radiofrequency ablation has great clinical value in the treatment of KMP. It makes up the shortcomings and avoids the disadvantages of traditional surgery and other conservative treatment methods. Good clinical results can be achieved by radiofrequence ablation with satifactory function and appearance.
