小儿颈部淋巴管瘤的手术治疗

Surgical Treatment of Lymphogioma of the Neck in Children

作者报告小儿颈淋巴管瘤手术治疗69例,其中全切除48例,大部分切除21例.46例获随访观察,远期疗效优良者41例,疗效差者5例.本病虽为良性,但易合并出血和感染,应早期手术.对粘附于重要血管、神经等不能完全切除的肿瘤,行大部分切除,残留囊壁涂以碘酒,可获长期治愈,复发率仅为10.9%.

This paper reports 69 cases of lymphogioma of the neck in children.Good long-term results were found in 41 of 46 follow-up cases.Total excision was performed in 48 cases and partial excisionin the other 21.Recurrence occurred in 5 cases.Facial paralysis occured in 17 cases but recovery was seen in 11 of them.Dyspnea developed in 5 cases but only one did it call of tracheotomy.Early diagnosis of lymphoma is necessary because though a benign tumor,it is often complicated with infection and bleeding.To avoid damage of important blood vessels and nerves,partial excision should be chosen.Seeing that lymphogioma is a tumor with no complete membrane and its infiltration may involve the sourrounding strutures,total excision is not feasible.However,painting iodine tincture on this residual cystic wall after partial excision of the tumor can often achieve a longterm cure.Our series had a recurrence rate of 10.9%.Tracheotomy should be carefully in dyspnea cases,for it is likely to cause more complications and higher mortality.