唇部巨大动静脉畸形五例临床报告

Clinical report of 5 cases of huge lip arteriovenous malformation

目的:探讨唇部巨大动静脉畸形的临床特点及诊治方法。方法:5例唇动静脉畸形均发生在上唇部,病变范围占上唇部80%以上;采用双侧上唇动脉结扎术,术后第3d即行上唇根部2～3点点状注射鱼肝油酸钠,以后每两周注射一次,共注射5～7次,待全唇无明显压缩感后,行唇部成形术。结果:随访1～5年,4例唇部形态正常,外形满意,瘤体无复发;1例局部复发,经硬化剂注射后,形态恢复。结论:唇部巨大动静脉畸形选择适当的治疗方式,可达到较为理想的治疗效果。

Objective：To investigate the clinical characteristics and treatment methods of huge lip arteriovenous malformation.Method：Five cases of lip arteriovenous malformation were in the upper lips,which accounted the scope of the upper lip for more than 80 %.All cases were performed bilateral upper lip artery ligation.Three days after surgery,point injection（2～3 points） of sodium morrhuate was implemented in the roots of the upper lip,then injection once every two weeks,the injection frequency were 5 to 7 times.Then cheiloplasty was curried out when the upper lip was no obvious sensitivity of oppression. Result： Follow up 1 to 4 years,4 cases of lip patterns were normal, no lesion recurrence.0nly one case relaps in local area, after re-injection of sclerosing agent, the appearance of lip recovered. Conclusion： Choose proper treatment of huge lip arteriovenous malformation, ideal result can be achieved.