山东大学耳鼻喉眼学报 ›› 2012, Vol. 26 ›› Issue (3): 54-56.

• 论文 • 上一篇    下一篇

多点环箍术治疗小儿颈内静脉扩张症

刘红真1,李爱武1,张强业1,张帆2,张文同1,崔新海1,王克来1   

  1. 山东大学齐鲁医院 1.小儿外科; 2.耳鼻咽喉头颈外科, 济南  250012
  • 收稿日期:2012-02-13 出版日期:2012-06-16 发布日期:2012-06-16
  • 通讯作者: 李爱武,硕士生导师。 Email:liaiwuxie@yahoo.com.cn
  • 作者简介:刘红真。 Email:liuhongzhen52003@yahoo.com.cn

Multipoint hoop to treat internal jugular phlebectasia in children

LIU Hong-zhen1,  LI Ai-wu1,  ZHANG Qiang-ye1,  ZHANG Fan2,  ZHANG Wen-tong1,  CUI Xin-hai1, WANG Ke-lai1   

  1. 1. Department of  Pediatric Surgery; 2. Department of Otolaryngology and Head & Neck Surgery, Qilu Hospital of Shandong University, Jinan 250012, China
  • Received:2012-02-13 Online:2012-06-16 Published:2012-06-16

摘要:

目的   探讨多点环箍术治疗小儿颈内静脉扩张症(IJP)的方法及疗效。方法   回顾性分析15例IJP患儿的临床资料,左侧1例,右侧12例,双侧2例。根据病变静脉的长度,应用10号丝线4~6根绕扩张静脉一周,每根线相距1cm左右。在结扎前放置直径1cm左右的硅胶管做支架,结扎静脉后抽出支架管,保留颈静脉的通畅,并限制静脉扩张。结果   15例患儿均痊愈出院,随访10个月~5年,无复发。结论   多点环箍术治疗IJP,保留了原静脉,减少并发症,操作简单,疗效满意,尤其适用于双侧病变。

关键词: 儿童;颈内静脉;血管疾病;手术治疗

Abstract:

Objective   To evaluate the efficacy and method of multipoint hoop treatment the internal jugular phlebectasia (IJP) in children. Methods   A retrospective analysis was performed in 15 cases of internal jugular vein phlebectasia patients from August 2005 to October 2010. Surgical intervention confirmed the jugular veins involved 1 case on the left side,12 cases on the right side and 2 cases bilateral. According to the length of the vein, there were 4 to 6 silk threads to go around the vein and each line was about 1 cm apart. Before the ligation, a 1 centimeter silicon tube bracket was placed around the internal jugular vein to keep it open and prevent it from over-dilatation. Results   All of the children were discharged with healing, and were followed up for 10 months to 5 years without recurrence. Conclusion   Multipoint hoop of phlebectasia might be a simple and comfortable procedure for jugular vein phlebectasia. It can maintain the normal flow inside the vessel, especially in bilateral cases.

Key words: Child; Internal jugular vein; Vascular disease; Operation

中图分类号: 

  • R445.1
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