婴幼儿腮腺血管瘤32例手术治疗

Surgical Treatment of Parotid Hemangioma in Infants.

目的 探讨婴幼儿腮腺血管瘤的手术治疗要点和疗效。方法 32例婴幼儿腮腺血管瘤 ,年龄 2个月～ 3岁 ,均施行保留面神经的腮腺及血管瘤切除术。随访 1～ 2年。结果 创口全部Ⅰ期愈合 ,无感染、涎瘘、永久性面瘫等并发症。结论 婴幼儿血管瘤早期手术治疗可获得满意治疗效果。小儿面神经分支类型与成人无明显差异 。

Objective To investigate the key points and the effects of surgical treatment of hemangioma of the parotid gland in infants. Methods 32 infants with parotid hemangioma, aged from 2 months to 3 years, were treated by parotidectomy and resection of hemangioma, associated with preservation of facial nerve. All subjects were followed-up from 1 to 2 years. Results All wounds healed without infection, salivary fistula, and permanent facial paralysis. Conclusion Early surgery could lead to satisfactory results in hemangioma of the parotid gland in infants, and it is important to protect facial nerve and control hemorrhage in operation.