口腔静脉湖20例临床病理分析

Oral venous lakes: a clinicopathologic analysis of 20 cases

目的 提高对口腔静脉湖 (oralvenouslakes ,OVL)的认识并探讨其最佳治疗方法。方法对 2 0例OVL患者的临床表现、病理和手术治疗进行了详细观察。结果 2 0例中男性 11例 ,女性 9例 ;病变最大 1 2cm ,最小 0 3cm ;18例发生于下唇或下唇前庭沟处的粘膜下 ,另 2例分别位于颊粘膜及上唇唇红处 ;病变触诊呈囊性 ,挤压体积不收缩 ,体位试验阴性 ,OVL病理表现为血管扩张充血 ,部分病例血管腔内血栓形成及机化。结论 OVL是小静脉局限性的病理性结构异常 ,其治疗均采用手术切除或摘除 ,2 0例术后随访 8个月～ 4年无一例复发 ,手术治疗应作为OVL治疗的首选方法。

Objective To improve the recognization and treatment for oral venous lakes(OVL) Methods Clinicopathologically analysis of 20 cases of oral venous lakes was performed All the samples were removed by surgerically Results All the lesions occurred in senile persons and located under the mucosa Among the 20 cases, 11 were male patients and 9 were female;18 of 20 occurred in the lower lip, another two in the upper lip and buccal mucosa The lesions were 0 3～1 2 cm in size Pathologically, the oral venous lake was composed of single or a few large, dilated and irregular veins Thrombosis and organization were found within the lesions sometimes Conclusions Oral venous lakes are a kind of focal anomalies of venous structure All the 20 cases (with a follow up time from 8 monthes to 4 years) has no recurrence after surgical treatment