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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 53 - 60 (8page)
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Purpose We analyzed results of percutaneous sclerotherapy for venous malformations (VMs) in head, neck and extremities. Materials and Methods Thirty-five patients with head and neck and extremities VM treated by sclerotherapy with bleomycin and sodium tetradecyl sulphate (STS) were retrospectively reviewed. A pre-treatment magnetic resonance imaging was done for all patients to diagnose the lesion. Each lesion received 1 to 11 sessions (average, 2.7; standard deviation [SD], 2.03). We evaluated percentage reduction in swelling size and a Likert scale review of subjective feelings of the patients. Results Sixteen had a complete obliteration; by sclerotherapy alone (n=13) and surgery after a 75% reduction (n=3). Ten patients had a significant reduction up to 75% and three patients by 50%. Four had a minimal decrease with reduction of 25% or less. Follow-up duration of the patients varied from a minimum of 6 months up to 3 years (average, 15.7 months; SD, 7.8 months). Of all patients, three refused further treatment and were lost to follow-up, while another two were referred to a dermatologist. Thirteen patients reported feeling excellent after the sessions. Eight patients claimed to feel slightly better compared to before the sessions started. Only three patients complained of feeling the same before and after the sessions. None of the patients still in follow-up have reported a recurrence of a lesion thus far. Conclusion Sclerotherapy using bleomycin and STS as sclerosants is a safe and effective primary treatment for VMs in the head and neck as well as in extremities.
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참고문헌 (14)
참고문헌 신청
Behravesh S / 2016 / Venous malformations: clinical diagnosis and treatment / Cardiovasc Diagn Ther 6:557~569
Spence J / 2010 / Percutaneous sclerotherapy for facial venous malformations: subjective clinical and objective MR imaging follow-up results / AJNR Am J Neuroradiol 31:955~960
Dubois J / 2001 / Soft-tissue venous malformations in adult patients: imaging and therapeutic issues / Radiographics 21:1519~1531
Rautio R / 2004 / Long-term results and quality of life after endovascular treatment of venous malformations in the face and neck / Acta Radiol 45:738~745
Mathur NN / 2005 / Bleomycin sclerotherapy in congenital lymphatic and vascular malformations of head and neck / Int J Pediatr Otorhinolaryngol 69:75~80
Spence J / 2010 / Percutaneous sclerotherapy for facial venous malformations: subjective clinical and objective MR imaging follow-up results / AJNR Am J Neuroradiol 31:955~960
Dubois J / 2001 / Soft-tissue venous malformations in adult patients: imaging and therapeutic issues / Radiographics 21:1519~1531
Rautio R / 2004 / Long-term results and quality of life after endovascular treatment of venous malformations in the face and neck / Acta Radiol 45:738~745
Mathur NN / 2005 / Bleomycin sclerotherapy in congenital lymphatic and vascular malformations of head and neck / Int J Pediatr Otorhinolaryngol 69:75~80
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