颈部囊性淋巴管瘤患者术后疗效观察

Therapeutic effect of modified surgery for cystic lymphangioma

目的:探讨囊性淋巴管瘤的治疗方法及疗效。方法:10例颈部囊性淋巴管瘤患者于1998-07-2008-03接受改良手术切除,即敞开囊腔后,在直视下行囊外切除。1例外院手术后腮腺深叶复发患儿及1例1岁患儿接受平阳霉素局部注射治疗。结果:10例患者肿瘤完全切除,未出现神经损伤等明显并发症,随访0.5～9.0年无复发;2例局部注射治疗者,肿物基本消失。结论:颈部囊性淋巴管瘤应以手术治疗为主,开囊直视下手术有利于肿瘤完全切除而又不会损伤周围组织。

Objective：To discuss the surgical treatments of cystic lymphangioma and their curative effect.Method：A retrospective review of 12 patients（9 males,3 females） of cystic lymphangioma was performed, with the age ranged from 1 to 35（median age was 11）.Six patients were born with cervical cyst, three patients had symptoms in childhood, and 3 in adolescence.Ten patients underwent modified operation, that is the extracapsular dissection performed under direct vision after open cystis, from July 1998 to March 2008, a patients who had operative procedure in other hospital with recurrence and a 1 year child received local injection of bleomycin A 5.Result：Cystic lymphangioma were complete excised in 10 surgical patients, without any complication like nerve injury. One of the two patients who received injection was lost in follow-up, and the other was still in follow-up with the tumor basically eliminated.Conclusion：Surgery is the primary treatment of cystic lymphangioma. Modified operative method is helpful to complete resection of lymphangioma and the protection of surrounding tissues.