CAJ | 학술논문

目的：探讨营养动脉栓塞辅助手术治疗Klippel-Trenauney综合征( KTS)的方法及安全性。方法本组2例KTS患者。1例患者的病变位于右侧臀部和大腿后侧；另1例患者的病变位于右大腿前侧。2例患者均行DSA检查,以明确瘤体的营养动脉并用明胶海绵颗粒栓塞动脉分支。栓塞治疗后3 d,行手术治疗,切除绝大部分病变组织,采用皮瓣和植皮术修复创面。结果2例患者均成功栓塞营养动脉并进行手术切除和创面修复,术中出血可控,未发生出血过多及其引发的其他并发症。术后1例患者随访1年,患肢功能逐渐恢复。结论对于肢体肥大非常严重的KTS患者,采用栓塞营养动脉能有效减少病理组织切除术中出血,保障手术安全。
목적：탐토영양동맥전새보조수술치료Klippel-Trenauney종합정( KTS)적방법급안전성。방법본조2례KTS환자。1례환자적병변위우우측둔부화대퇴후측；령1례환자적병변위우우대퇴전측。2례환자균행DSA검사,이명학류체적영양동맥병용명효해면과립전새동맥분지。전새치료후3 d,행수술치료,절제절대부분병변조직,채용피판화식피술수복창면。결과2례환자균성공전새영양동맥병진행수술절제화창면수복,술중출혈가공,미발생출혈과다급기인발적기타병발증。술후1례환자수방1년,환지공능축점회복。결론대우지체비대비상엄중적KTS환자,채용전새영양동맥능유효감소병리조직절제술중출혈,보장수술안전。
Objective To explore the method and safety of operation assisted with preoperative emboli-zation of nutritional artery on the treatment of Klippel-Trenauney sysdrome (KTS). Methods Two KTS pa-tients were with giant hypertrophy on right buttock and posterior thigh ( Case 1 ) and ventral thigh ( Case 2 ) . The nutrient arteries of tumors were identified by DSA, and then the branches of the arteries were embolized by the particles of gelatin sponge. The operations were performed to resect the hypertrophic tissue at 3 days after the embolization. The wounds were repaired by flap and skin graft. Results Both of the two patients underwent successful embolization of nutritional arteries and subsequent operation. The bleeding in operation was controllable without the complications related to excessive haemorrhage. The function of the limb recovered gradually after one year following up. Conclusion For KTS patients with very serious hypertrophy on the limbs, pre-operative emboli-zation of nutritional artery can effectively reduce the haemorrhage in the resection of hypertrophic tissue.