정맥기형에 대한 경화요법의 치료효과

Abstract

Background: Although surgical excision is the standard method for the treatment of venous malformations, this procedure often leads to massive bleeding and cosmetic problems. Sclerotherapy for venous malformations has recently been reported, whereas sclerotherapy for varicose veins, leg telangiectasias and hemorrhoids has well been established.

Objective: To assess the usefulness of sclerotherapy for venous malformations.

Method: Fourteen patients who had venous malformation were treated with sclerotherapy using sodium tetradecyl sulfate (ThrombojectⓇ, Omega Laboratories, Ltd., Montreal, Canada). Clinical efficacy was evaluated by physical examination and comparison of photographs.

Results: In patients with venous malformations, 71.4% of the eases showed moderate to marked improvement. Side effects were noted in 6 patients, however, they were trivial and transient and no treatment was needed.

Conclusion: Sclerotherapy can be recommended as an effective method for the treatment of venous malformations. It has milder and fewer side effects than other treatment modalities, and it also yields superior cosmetic results.