手术在头颈部血管瘤和血管畸形治疗中的作用

目的 总结分析手术在头颈部血管瘤和血管畸形治疗中的作用。方法 2009年2月—2013年2月,对保守治疗无效或影响外形及功能的38例血管瘤采用手术切除。对155例血管畸形(126例静脉畸形,17例动静脉畸形,12例微静脉畸形)采用平阳霉素病变内注射或电化学疗法联合高浓度平阳霉素或环扎法结合高浓度平阳霉素及栓塞法或手术切除治疗。结果 所有患者经0.5~4 a随访,血管瘤、静脉畸形、动静脉畸形、微静脉畸形的临床治愈率分别为94.7%、81.0%、70.6%和91.7%。面部外形及功能均有明显改善,未见明显并发症。结论 手术在血管瘤和血管畸形的治疗中具有治疗时间短、疗效确切的优点,具有不可取代的重要地位。

The role of surgery in the treatment of hemangioma and vascular malformation in head and neck region

PURPOSE: To summarize and analyze the effect of surgery in the treatment of hemangioma and vascular malformation in head and neck region. METHODS: From February 2009 to February 2013, for 38 cases with hemangiomas which poorly responded to conservative treatment or affected cosmetics and function, surgical resection was performed. For 155 cases with vascular malformations, including 126 cases of venous malformation, 17 cases of arteriovenous malformation, and 12 cases of venular malformation, pingyangmycin injection or electrochemical therapy in combination with high concentration of pingyangmycin or cerclage method combined with high concentration of pingyangmycin and embolism method or surgical resection were applied accordingly. RESULTS: All patients were followed up for 0.5-4 years after treatment. The clinical cure rate of hemangioma, venous malformation, arteriovenous malformation and venular malformation was 94.7%, 81.0%, 70.6% and 91.7%, respectively. There were fewer complications, and cosmetics and function improved remarkably. CONCLUSIONS: Surgery still plays an important role in the treatment of hemangioma and vascular malformation, with the advantages of short treatment time and higher curative effect.