Zhou Lijun,Li Gongjun,Shen Gang.. Clinical ultrasoundguided application of lauromacrogol in the treatment of pediatric lymphangioma.[J].Journal of Clinical Pediatric Surgery,,17():950-953.
Clinical ultrasoundguided application of lauromacrogol in the treatment of pediatric lymphangioma.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 12
Page:
950-953
Column:
论著
Date of publication:
2018-12-18
- Keywords:
- ; Ultrasound Guided; Lauromacrogol; Lymphangioma; Child
- Document code:
- A
- Abstract:
- ObjectiveTo evaluate the clinical curative effect of lauromacrogol guided by ultrasound in the treatment of pediatric lymphangioma.MethodsA total of 24 cases with clinically confirmed lymphangioma (LM) were recruited.There were 14 boys and 10 girls with a median age of 24.2(1-108) months.The size of lesion varied from 2.5 cm×1.8 cm to 12 cm×6.3 cm with an average of 3.4 cm×5.6 cm.The sites included neck (n=11),under axillary fossa (n=9),hip (n=1),anterior chest wall (n=2) and knee (n=1).Cysts were single (n=3) and multilocular (n=9).Lauromacrogol foam sclerosant was prepared according to the Tessari formula.Ultrasound was employed for locating and observing cyst cavity.Lymph fluid should be aspirated as quickly as possible prior to injection.Injection was made until sclerosing foam was full within the cavity.The total dose of sclerosing was less than 40 ml.Ultrasound was used for reconfirming the location and size of cyst cavity after 2 months.Based upon the ultrasonic size of LM,injection was repeated whenever necessary.ResultsOver a followup period of 3-12 months,the total responsive rate was 100%.The outcomes were curing (n=18,75%),efficacious (n=4,17%) and effective (n=2,8%).One case experienced transient vasovagal syncope.ConclusionWith a liquidtoair ratio of 1:2,1% lauromacrogol is both safe,miniinvasive and effective for pediatric lymphangioma under ultrasonic guidance.With fewer complications,it is worthy of wider popularization.
Last Update:
2018-12-19