聚桂醇、复方倍他米松注射液及平阳霉素联合注射治愈舌部婴幼儿血管瘤1例

A Case of Infantile Hemangioma of Tongue Cured by Combined Injection of Lauryl Alcohol,Compound Betamethasone Injection and Pingyangmycin

患儿男,出生33 d,出生后因舌体肥大,吮吸困难,口唇不能闭合而就诊。查体:舌体明显均匀肥大、微红,几乎填满整个口腔,活动受限。触诊有明显的囊性感,压之凹陷,温度略高。彩超检查:整个舌体深部可见较多低回声及液性暗区,未见明显分支血管,有丰富彩色血流。临床诊断:婴幼儿血管瘤(单发型、深在性)。根据情况皮损内处注射复方倍他米松注射液、聚桂醇、平阳霉素等,平均1个月左右1次,共治疗10次(1年)后肿物消失,舌体恢复至正常大小,活动自如,嘴唇闭合正常。随访3年舌体大小、颜色、活动、进食及发音均正常。彩超检查:未见液性暗区及彩色血流,与正常舌体无异。患儿达到临床治愈。

The male patient was 33 days old.After birth,he was treated for hypertrophy of tongue,difficulty in sucking,and inability to close lips.Physical examination:the tongue was obviously uniform hypertrophy,reddish,almost filling the whole mouth,limited movement.Palpation has obvious cystic,depressed pressure,slightly higher temperature.Color ultrasound examination:there were many hypoechoic and fluid dark areas in the deep part of the whole tongue,no obvious branching vessels,and rich color blood flow.Clinical diagnosis:infantile hemangioma(monohairstyle,deep in sex).According to the situation,compound betthasone injection,lauromacrol,pingyangmycin were injected into the skin lesion,about once a month on average.After 10 times of treatment(one year),the tumor disappeared,tongue returned to normal size,and movement along with lip closure were normal.After three years of follow-up,the size,color,movement,eating and pronunciation of tongue were normal.Color ultrasound examination:no dark area of fluid and color blood flow,as normal tongue.The patient was cured clinically.