面颈部大囊型淋巴管畸形20例临床分析

目的通过对面颈祁大囊型淋巴管畸形（MaLM）的回顾性临床分析，探讨治疗面颈部MaLM的有效措施。方法对经治的20例发生于面颈部MaLM患者的年龄、分布、好发部位、治疗方式及预后进行临床分析。结果面颈部MaLM以2岁以下儿童多见，多发于颈上部、颈下部锁骨上区和颌下区，手术是治疗该病的主要措施。麻醉采用气管插管全麻最为安全。术后负压引流是防止感染和呼吸道梗阻的有效措施。结论面颈部MaLM，根据瘤体的大小、波及的范围，选择不同的手术方式，遵循既要切尽肿瘤，又要保持器官功能和外形的原则，治疗效果满意。

Clinical analysis on 20 cases of macrocystic lymphatic malformation in faciocervical region

Objective To investigate the effective treatment for faciocervical macrocystic lymphatic malformation through retrospective clinical analysis. Methods Clinical analysis on age, distribution, predilection sites,treatment methods and prognosis was made in 20 cases of macrocystic lymphatic malformation after therapy. Results Faciocervical lymphatic malformation occurred more often in children under 2 years old, and more often in upper - neck region, subclavian region and submandibular region. Operation was the main therapy of this disease. In the surgical operation of macrocystic lymphatic malformation,general anesthesia with tracheal intubation was safe. After operation, vacuum aspiration was an effective measure to prevent infection and airway obstruction. Conclusion According to size and effective range of tumors, different surgery methods shouht be selected. The tumors should be removed totally ,and the function and shape should be followed. The operative effects is satisfactory.