婴幼儿腮腺血管瘤手术治疗临床疗效观察

Clinical effect of surgical resection of parotid gland hemangioma in infant

目的:观察与评价婴幼儿腮腺血管瘤手术的治疗效果,探讨手术治疗要点及注意事项。方法:分析2007年1月～2010年1月收治的24例未满2岁的婴幼儿腮腺血管瘤病例,全部病例在气管插管全麻下施行保存面神经的血管瘤和部分腮腺或全部腮腺切除术。结果:全部患儿未发生麻醉和手术意外,仅2例小于6个月患儿术中给予输血50mL;手术创口除2例Ⅱ期愈合外,其余均Ⅰ期愈合。无感染、无涎瘘等并发症发生;术后5例患儿出现暂时性面瘫,均在2周～3个月内恢复;术后随访6个月～3年,面部外形无明显凹陷畸形,血管瘤无复发。结论:婴幼儿腮腺巨大血管瘤采用手术治疗可以获得良好效果,仔细解剖保护面神经和有效控制出血是手术成功的关键。

Objective： To evaluate in infant. Methods： Data of 24 infants wi years were treated by surgical resection of clinical effect of surgical resection of parotid gland hemangioma th giant hemangioma of parotid gland, aged from 68 days to 2 hemangioma and parotidectomy （facial nerve was preseved） un- der general anesthesia from January 2007 to January 2010 was retrospectively analyzed. Results： Surgery and anesthesia process was successful in all cases, only 2 cases that were younger than 6 months received blood transfusion （50 mL） during the procedure. Incisions healed at stage Ⅰ and Ⅱ in 22 and two cases re spectivcly. No infection, salivary fistula or permanent facial nerve paralysis happended. Five cases that showed temporal facial nerve paralysis recovered 12 -36 months after the surgery. Follow up ranging from 6-36 months showed ncither sunken cheeks nor reoccurrence in all cases. Conclusions： Surgery is an effective treatment for hemangioma of parotid gland in infants with satisfactory outcomes, measures of preserving facial nerve and hlood loss control are key to the success of this procedure.