小针高频电凝在体表血管瘤治疗中的临床应用

Clinical application of the treatment of superficial hemangiomas by high-frequency electrocoagulation using fine needle

目的:探讨小针高频电凝治疗体表血管瘤的治疗效果、适应证的选择及并发症的防治。方法:回顾分析我科2007年7月～2010年12月应用小针高频电凝治疗体表血管瘤876例,共913处病变的临床资料。结果:本组病例共913处病变,治愈率58.16%,显效率30.23%,门诊随访时间6～20个月。108处出现色素沉着(11.8%),45处出现表浅性瘢痕(4.9%),3处出现局部感染(0.3%),未见其他不良反应及意外损伤。结论:小针高频电凝治疗体表血管瘤是一种安全、有效、简单易行的治疗方法,尤其适合于中小面积体表血管瘤及残余血管瘤的治疗,能较大限度地保留正常组织结构的解剖形态和功能,加速血管瘤的消退。

Objective The study aims at observing the therapeutic efficacy of the superficial hemangiomas,the choice of the indication and the prevention of the adverse effects by the high-frequency electrocoagulation using fine needle.Methods Between Junly 2007 and December 2010,the 876 cases（913 Lesions）with hemangiomas were treated with high-frequency electrocoagulation using fine needle.Analysising of the clinical date,treatment effects,indications and complication of all cases.Results The care rate and obvious effects rate of the total lesions were respetively 58.16% and 30.23%.All the patients were followed up for 6～20 months.Among 913 lesions,108 lesions presented pigmentation（11.8%）,45 lesions had superficial scar（4.9%）,3 lesions had local infection（0.3%）,and no other adverse reactions and accidental injury.Conclusions It is a safe,efficiency therapeutic technique and easy for operating surgeons to treat superficial hemangiomas by high-frequency electrocoagulation using fine needle.The technique is suitable especially for the treatment of middle or small hemangionmas,in addition which utmostly remains normal anatomic form and function.