The sclerotherapy of polidocanol foam combined with absolute ethanol in the treatment of lower extremity venous malformation in children
10.3969/j.issn.1002-1671.2024.05.026
- VernacularTitle:聚多卡醇泡沫联合无水乙醇硬化治疗儿童下肢静脉畸形
- Author:
Deng PAN
1
;
Chuangao YIN
;
Song WANG
;
Weiwei QI
Author Information
1. 安徽省儿童医院影像中心,安徽 合肥 230051
- Keywords:
venous malformation;
sclerotherapy;
polidocanol;
absolute ethanol
- From:
Journal of Practical Radiology
2024;40(5):793-795
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of polidocanol foam combined with absolute ethanol in the treatment of lower extremity venous malformation(VM)in children.Methods The clinical data of 20 children with lower extremity VM were analyzed retrospectively.All of these children were diagnosed with VM of lower extremity by MRI and were treated with digital subtraction angiography(DSA)guided percutaneous sclerotherapy.Different hardening agents were selected according to the classification,the size of the lesion range and the flow rate during the operation.The VM with small lesions range,shallow location and slower velocity were treated with polidocanol foam only,while the VM with larger lesion range and faster velocity were combined treated with abso-lute ethanol.Clinical symptoms and MRI were used to evaluate the curative effect one month after operation.Results Twenty chil-dren received sclerotherapy.After the treatment,15 cases were cured,3 cases showed significantly effective,and 2 cases were effec-tive.Some of the children had pain and swelling of different degrees within 48 hours after operation,who were given symptomatic treatment,and the symptoms disappeared in the short time.The skin of the lesion ulcerated in one case and the ulceration healed after treatment.Conclusion Polidocanol foam combined with absolute ethanol is safe and effective in the treatment of lower extremity VM in children,and the combination can improve the curative effect and reduce the occurrence of postoperative complications.
