婴幼儿体表血管瘤治疗方法的探讨

目的:探讨治疗婴幼儿体表血管瘤的方法。方法:采用CO2激光、局部注射曲安奈德、整形手术三种方法治疗婴幼儿体表血管瘤326例,其中CO2激光治疗组280例,曲安奈德治疗组36例,手术治疗组10例。结果:随访6个月～4年,其中CO2激光治疗组治愈210例(75%),有效70例(25%);曲安奈德治疗组治愈26例(72.2%),有效6例(16.7%),无效2例(11.1%);手术治疗组治愈8例(80%),2例需二期修复(20%)。结论:CO2激光、局部注射曲安奈德、整形手术对治疗婴幼儿体表血管瘤均有效,应根据患儿不同时期、不同部位、不同大小的体表增殖性血管瘤选择合适的治疗方法,提高治疗效果。

Treament methods of body surface infantile hemangioma

Objective To discuss the methods selection on treatment of body surface infantile hemangioma. Methods From june 2001 to june 2005,326 patients with body surface infantile hemangioma were treated with CO2 laser in 280 cases,triamcinolone acetonide in 36 cases,and plastic surgery operation in 10 cases respectively. Results Followed up 6 months to 4 years,210 cases with CO2 laser were cured(75%),good response were 70 cases(25%);26 cases with triamcinolone acetonide were cured(72.2%),good response were 6 cases(16.7%);while in the plastic surgery operation group,the cure rate was 80%(8 cases),two cases needed the second operation(20%). Conclusion Treatment with CO2 laser, triamcinolone acetonide or plastic surgery operation were all effective to body surface infantile hemangioma and proper treatment method should be selected according to different period and different site and different size of infantile hemangioma to improve the therapeutic effectiveness.