微波热凝治疗口腔颌面部大型海绵状血管瘤(附20例报告)

Treatment of Large Size Caverous Hemangiomas by Thermal Coagulation from a Microwave Radiation Machine: A Report of 20 Cases

口腔颌面部大型海绵状血管瘤,迄今尚无较为理想的疗法。单纯采用外科手术切除,出血多且有一定的危险性。1988年7月我科创用微波热凝手术切除疗法。通过20例的临床实践证明,瘤体经微波辐射后,窦腔内的血液凝结,瘤组织迅速退缩由软变实,切除时几乎看不到创面出血,因此大大地减少了术中的输血量,缩短了手术时间,扩大了手术适应证。微波热凝疗法对大型海绵状血管瘤的治疗,是一种新型的,较为理想的疗法。

Since July 1988 to May 1989, we had used the microwa c radiation thermal coagulation method to treat 20 cases of large caverous hemangimas in the oro-maxillo-facial region. When a radiation antenna pin was inserted into tumor, blood and tissue within the tumor began to be coagulated by high temperature produced by the machine. After a full coagulation appeared, we might remove the tumor without bleeding by a surgical knife.This method of treatment has many advantages: (1) Lesser bleeding and blood transfusion; (2) convenient excision; (3) time for operation is markedly shortened; (4) patients who were contraindi-cated may be treated by this method. The authors consider that the microwave radiation thermal coagulation method for treating large caverous hemangiomas in the oro-maxillo-facial region is a rather ideal method up-to-date.