小儿鼻血管瘤的治疗探讨

Interventions for Nasal Hemangiomas in Children

目的探讨小儿鼻血管瘤的理想治疗方法。方法1988年1月至2001年4月,共治疗小儿鼻血管瘤110例。其中平阳霉素瘤内注射76例(Ⅰ组);甾体激素瘤内注射11例(Ⅱ组);无水乙醇瘤内注射7例(Ⅲ组);冷冻治疗6例(Ⅳ组);手术切除10例(Ⅴ组)。结果Ⅰ、Ⅱ、Ⅲ、Ⅳ、Ⅴ组的治愈率分别为88.16%、27.27%、100.00%、50.00%、80.00%;治疗后鼻外形满意率分别为86.84%、18.18%、0.00%、0.00%、10.00%。结论小儿鼻血管瘤部位特殊,构造精细,结构一旦破坏,很难予以满意修复。作者主张尽早采取有效治疗,不宜盲目等待自然消退。平阳霉素瘤内注射治疗小儿鼻血管瘤,疗效确切,不良作用小,治疗后的鼻部外形好,应作为首选治疗方法。

Objective To explore an ideal therapy for nasal hemangiomas in children.Methods From June1998to April2001,110patients with nasal hemangiomas in children were treated.Of them,76cases received Pingyangmycin intralesional injection(group I);11cases received steroids injection(group II);7cases received intralesional injection of absolute ethanol(group III);6cases received cryotherapy(group IV)and10cases with tumor resection(group V).Results In group I,II,III,IV and V,the cure rates were88.16%,27.27%,100%,50%and80%,respectively.The satisfactory rates of the nasal contour after treatment were86.84%,18.18%,0,0and10.00%,respectively.Conclusions The nose is a special portion of the body with fine configuration.Once destroyed,it is difficult to restore.Therefore,it is necessary to adopt an effective therapy in the earlier stage.It is not advocated to wait for spontaneous involution.Intralesional injection of Pingyangmycin is an effective method in the treatment of nasal hemangiomas in children;Its result is exact,without significant side effects.The nasal appearance remains good after treatment.