90Sr敷贴治疗婴幼儿血管瘤的疗效分析

目的通过用不同的治疗剂量,来探讨90Sr敷贴治疗婴幼儿血管瘤的最佳方法以及限制最小的副作用.方法 100例草莓状血管瘤、鲜红斑痣患儿,随机分为A、B两组,A组采用一次大剂量90Sr敷贴治疗,B组采用分次小剂量90Sr敷贴治疗.2个月后观察治疗效果以决定是否行第2次治疗.结果 A组一次大剂量90Sr敷贴治疗后,其中47例痊愈,2例显效,1例有效,总有效率达1 00%.出现患部色素沉着,毛发脱落40例,出现轻度放射性皮炎6例,出现放射性溃疡4例,经抗感染处理后治愈.B组分次小剂量治疗后,49例痊愈,1例显效,总有效率达100%.出现患部色素沉着,毛发脱落35例,出现轻度放射性皮炎1例,经处理后治愈,其余无不良反应.结论毛细血管瘤是先天性血管病,是婴幼儿的常见良性肿瘤类疾病.90Sr敷贴治疗是一种方法简单,易行,治疗时间短,疗效好,副作用小的治疗方法,对于1岁以下的婴幼儿来说,一次大剂量和分次小剂量治疗在疗效上是无明显差异的,但在副作用上分次小剂量的治疗效果明显优于一次大剂量,所以对于1岁以下的婴幼儿血管瘤患者采用分次小剂量90Sr敷贴治疗是一种治愈率高,副作用小的方法.

Clinical Observation of Infant Haemangioma Treated by 90Sr

Objective By different doses of treatment to discuss the best method of treating the illnessof haemangioma for the infants with the application treatment of 90Sr and getting little side-effect.Methods 100 infants who suffered from the illness of strawberry haemangioma and naevus flammeus are cut intotwo groups. A large number doses of 90Sr for each of group A for once and small doses for each of group B forseveral times.Obsering the effect of treatment in two months to make sure whether to have another treatment.Results 47 infants of Group A have got recovery after the application treatment with a large number desesof 90Sr ;1 infant has been treated efficiently and 2 have been more efficient. The rate of efficiently is100%. 40 infants have apparent pigment and their hair have shelled down;6 have sightly radioactivitydermatitis;4 have radioactivity canker , but got recory after the treatment of inrection.49 infants of GroupB have got recovery after the application treatment with small doses of 90Sr for several times. The rate ofefficiently is 98%. 1 is more efficient. The general rate is 100%. 35 infants have apparent pigment and theirhair have shelled down; only 1 has sightly radioactivity dermatitis and he`s got well after the treatment;the rest of them have no bad reactions. Conclusions Haemangioma is a congenital blood vessel diseasewhich ordinary appears in infants. It belongs to carcinoid tumour.The application treatment of 90Sr is asimple method with short curing times and good curative effect, and little side-effect. For the infantsyounger than one year, there are no abvious differences between a large number doses of 90Sr for once and smalldoses for several times. But the latter is bestter than the former on side-effect. So, for the infants whosuffer from the illness of haemangioma and younger than one year;the application treatment of 90Sr with smalldoses is a high-rate curing method with little side-effect.