口腔颌面部126例海绵状血管瘤缝扎硬化的疗效分析

Clinical Evaluation of Sclerotherapy Combined with Transfixion for Cavernous Hemangioma in the Oral and Maxillofacial Regions

目的 观察瘤体分区缝扎硬化治疗颌面部血管瘤的疗效及不良反应。方法 采用瘤体周围及分区交叉缝扎加瘤腔内注射平阳霉素的方法,治疗颌面部海绵状血管瘤12 6例。平阳霉素术后可重复注射1～6次。结果 随访观察6～3 6个月,治愈98例,基本治愈2 6例,有效2例,无无效病例。临床治愈率(包括治愈和基本治愈)为98 4%。结论 分区缝扎硬化治疗海绵状血管瘤操作简便、安全可靠,治愈率高,特别对于唇部、舌前部、颊部易于阻断血流处治疗效果好,具有较好的治疗应用价值。

Objective To evaluate the results and toxicity of scerotherapy with transfixion for cavernous hemangioma in the oral and maxillofacial regions.Method A total of 126 cases was enrolled in this investigated. Transfixion was taken in the circumference of the hemangiomas or across them to be divided into some subareas, and then Pingyangmycin was injected into the cavity. The injection might be repeated every 7-10 days for 1-6 times.Result 126 patients were observed for 6-36 months. The clinical cured rate of cavernous hemangioma was 98.4%.Conclusions Sclerotherapy combined with transfixion was a simple, safe, and effective method of treatment for cavernous hemangioma, especially in lip, tongue and buccal regions.