无水乙醇灌洗联合泡沫硬化剂治疗颈部巨囊型淋巴管畸形的临床分析-《中国美容医学》

文章信息/Info

Title:: Clinical Analysis of Anhydrous Ethanol Irrigation Combined with Foam Sclerotherapy for Giant Cystic Lymphatic Duct Malformation in the Neck?/html>

Author(s):: WU Yaying; LIN Wenxiong; WANG Chenghe; LIU Changjiang; SU Zhenmin; ( Department of Plastic Surgery, Children’s Hospital, Quanzhou Maternal and Child Health Hospital, Teaching Hospital of Fujian Medical University, Quanzhou 362000, Fujian, China )

Keywords:: cervical lymphatic duct malformation; anhydrous ethanol lavage; polydocanol foam; sclerotherapy; children

摘要:: 目的：探讨无水乙醇灌洗联合聚多卡醇泡沫硬化治疗颈部巨囊型淋巴管畸形的临床效果及并发症。方法：回顾性分析笔者医院2017年10月-2023年2月收治的共19例颈部巨囊型淋巴管畸形患儿，其中男10例，女9例，年龄37 d～12岁，平均 35 个月，体重4.2～48 kg，平均13.66 kg。10例位于左颈部，9例位于右颈部，9例合并囊内出血。先行无水乙醇反复灌洗囊腔，再行聚多卡醇泡沫硬化治疗，观察不良反应，随访至少6～12个月，评价治疗效果。结果：19例患儿中3例进行2次治疗，所有患儿均取得良好的治疗效果，但也出现如术区肿胀、发热等不良反应。结论：无水乙醇灌洗联合聚多卡醇泡沫硬化治疗儿童颈部巨囊型淋巴管畸形效果良好，安全性高，值得临床推广。

Abstract:: Objective To investigate the clinical effect and complications of anhydrous ethanol irrigation combined with polydocanol foam sclerosis in the treatment of giant cystic lymphatic duct malformation in the neck. Methods A total of 19 children with cervical macrocystic lymphatic duct malformation admitted to the author’s Hospital from October 2017 to February 2023 were retrospectively analyzed, including 10 males and 9 females, aged 37 days to 12 years, average 35 months, weighing 4.2 kg to 48 kg, average 13.66 kg. 10 cases were located in the left neck, 9 cases in the right neck, and 9 cases combined with intracapsular hemorrhage. The cystic cavity was repeatedly irrigated with anhydrous ethanol followed by sclerotherapy with polydocanol foam. Adverse eff ects were observed and followed up for 6-12 months to evaluate the treatment eff ect. Results Three of the 19 children underwent 2 treatments, and all of them achieved good results, but adverse eff ects such as swelling and fever in the operated area also occurred. Conclusion Anhydrous ethanol lavage combined with polydocanol foam sclerosis for treatment of cervical giant cystic lymphatic duct malformation in children has good therapeutic eff ect and high safety, which is worthy of clinical promotion.