面颈部血管瘤手术中阻断血液供应的临床应用

Application of Blocking in Operative Therapy Hemangioma

目的探讨血管瘤手术治疗时减少术中出血的方法。方法2004年2月到2007年11月共收治血管瘤8例，其中男性3例，女性5例，年龄2～30岁，毛细血管瘤2例，海绵状血管瘤6例。根据血管瘤的性质和部位、不同的部位、不同方法阻断血供。头面颈部的毛细血管瘤及海绵状血管瘤体周围用7号丝线间断缝扎，暂时阻断周围滋养血管，再切除血管瘤。结果通过阻断血供，血管瘤组织不同程度缩小，术中出血明显减少。术后均获随访3～24个月，8例完全愈合、无复发、外形满意，功能恢复正常。结论手术切除血管瘤之前阻断血供可明显减少术中出血，降低手术难度，为尽可能彻底切除血管瘤，减少复发创造了条件。

Objective To study the surgical treatment to reduce bleeding in treating hemangioma. Methods From Febrary 2004 to November 2007,8 cases of hemagioma were treated,aged 2 years to 30 years. There were 2cases of capillary hemangioma,6 cases of cavernous hemangioma. According to the position and type of hemangioma, various methods of blocking blood vessels were adopted to assist resect tumors. The writers sutered and knotted vessel with 7-0 silk string to block the bleeding in capillarg hemangioma and cavernous hemangiora of neck and face and truncus. Results lntraoperative bleeding obviously decreased and the tumor size reduced to different extents. 8 cases achieved complete success. A potoperative follow-up of 3months to 2 years showed that the appearance and function were satisfactory. Conclusoin The preoperative method of blocking blood vessels can obviously reduce intraoperative bleeding and decrease operative difficulty,which makes it possible to eradicate hemanyioma and lower recurrence rate.