Background

Clinically, surgical treatment and sclerotherapy are the main treatments for lymphatic malformation (LM), but the diagnosis and treatment of microcystic LM has numerous pitfalls. Microcystic LM within the vagina and pelvis is not easily visible, and there are many side effects of treatment. Lymphangiography, a relatively old method of identifying diseases of the lymphatic system, has been rarely used in clinical settings because of the difficulty of performing this test. In this article, we describe the use of a special lesion site adjacent to the nearby lymph nodes for the treatment of vaginal and pelvic microcystic LM.

Case

Lymphangiography was performed using lymph node aspiration combined with direct local puncture of the lesion, guided by the injection of iodine oil, which can produce a better outcome and more complete removal of the lesion. Finally, sclerotherapy was conducted using a low concentration of 50% ethanol with good fluidity, which covered the lesion to a great extent. This methodology was shown to be effective in treating children with vaginal and pelvic microcystic LM.

中文翻译：

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通过淋巴结造影术通过50％乙醇注射成功治疗阴道和盆腔微囊性淋巴畸形。

背景

临床上，外科手术治疗和硬化疗法是淋巴畸形（LM）的主要治疗方法，但是微囊性LM的诊断和治疗存在许多陷阱。阴道和骨盆内的微囊性LM不容易看到，并且有很多治疗副作用。淋巴管造影术是一种较旧的识别淋巴系统疾病的方法，由于执行该测试的困难，很少在临床环境中使用。在本文中，我们描述了使用邻近附近淋巴结的特殊病变部位来治疗阴道和盆腔微囊性LM。

案件

淋巴管造影术是通过在注射碘油的引导下，结合淋巴结抽吸结合病变的直接局部穿刺进行的，可以产生更好的结果并更彻底地去除病变。最后，使用低浓度的50％乙醇（具有良好的流动性）进行硬化治疗，从而在很大程度上覆盖了病变。事实证明，这种方法可有效治疗儿童阴道和盆腔微囊性LM。