醋酸曲安奈德联合醋酸泼尼松治疗婴幼儿脉管性疾病

To treat infant vascular anomalies with Triamcinolone Acetonide and Prednisone Acetate

目的:探讨局部注射醋酸曲安奈德联合口服醋酸泼尼松控制性治疗婴幼儿脉管性疾病的疗效。方法:本组患儿23例,瘤体面积0.6cm×1cm～5cm×6cm,初次治疗年龄为2个月～1岁。口服醋酸泼尼松第1～10周,3.0～5.0mg/kg,总量不超过50kg,隔日早晨顿服。根据瘤体大小注射曲安奈德,面积较大或多发者可采取分次注射治疗,2周注射1次,如瘤体持续消退,则无需再次注射,如瘤体有再次扩大的趋势,需重复注射,注射后2周随访1次。结果:23例患儿,显效17例(74.0%),有效5例(21.7%),无效1例(4.3%),有效率达95.7%。结论:局部注射醋酸曲安奈德联合口服醋酸泼尼松控制性治疗婴幼儿脉管性疾病,操作简单、经济、无需手术,可获得较好的疗效。

Objective To discuss the curative effect of injecting Triamcinolone Acetonide locally treating infant hemangioma controlly with taking Prednisone acetate orally.Methods 23 infants in the team,tumour proportion：0.6cm×1cm～5cm×6cm,the age of infant be treated firstly：2 months to 1 year old,the first week to the tenth week of taking Prednisone acetate orally,3.0～5.0mg/kg,the gross less than 50kg,taken at a draught in tertian morning.Follow up one time after 2 weeks of the injection.Results Excellence：17cases（74.0%）,utility：5cases（21.7%）,ineffective：1cases（4.3%）.Conclusion In this team,23 cases got better effect by injecting Triamcinolone Acetonide locally treating infant hemangioma on body surface controlly with taking Prednisone Acetate orally.The operation is simple and inexpensive,without surgery.