咽喉部血管瘤60例临床分析

Clinical analysis of laryngopharynx hemangioma in 60 cases

目的探讨咽喉部血管瘤的治疗方法及远期疗效。方法 60例咽喉部血管瘤患者随机分为观察组和对照组各30例,观察组给予平阳霉素血管瘤体分次注射+手术切除治疗,对照组仅行平阳霉素血管瘤体分次注射,随访1a,比较2组疗效。结果观察组治疗有效率(86.67%)高于对照组(63.33%)(P<0.05),复发率(3.33%)低于对照组(20.00%)(P<0.05)。结论平阳霉素血管瘤体分次注射+手术切除是治疗咽喉部血管瘤的有效方法。

Objective To explore the treatment of laryngopharynx hemangioma and its long-term outcome. Methods Sixty patients with laryngopharynx hemangioma were randomly divided into observation group and control group, with 30 patients in each group. Observation group received intratumor injection of bleomycin As plus surgical resection, and control group only received intratumor injection of bleomycin As. All patients were followed up for one year to observe the therapeutic effect. Results The therapeutic effect was 86.67% in observation group, significantly higher than that in control group （63.33%） （P〈0.05）, and the recurrence rate was 3.33% in observation group, significantly lower than that in control group （20.00%） （P〈0.05）. Conclusions Intratumor injection of bleomycin A5 plus surgical resection is an effective method for laryngopharynx hemangioma.