平阳霉素局部注射治疗口腔颌面部血管瘤

目的：探讨平阳霉素治疗血管瘤的疗效和适应证。方法：总结采用平阳霉素瘤腔内局部注射治疗口腔颌面部血管瘤１２８２例的情况。结果：海绵状血管瘤、草莓状血管瘤疗效最好，有效率分别为９３．８７％、８４．９０％，葡萄酒色斑最差。结论：平阳霉素局部注射可作为海绵状、草莓状血管瘤的首选治疗方法。

Treatment of Hemangioma in Oral and Maxilloficial Region with Pingyangmycin Injection

OBJECTIVE: To investigate the indication and result in hemangioma in oral and maxillofacial region with Pingyangmycin injection. METHODS: 1282 patients (554 males and 728 females) with hemangioma in oral and maxillofacial region have been treated in our hospital during the 10-year period from May 1990 to March 1999. The patients range between 0.5-84 years old. Lip, cheek and tongue were usually involved. 1211 patients were treated with injection of Pingyangmycin(about 0.89 mg/ml) and dexamethasone (about 0.55 mg/ml), 1 time/1-2 weeks. RESULTS: The curative rates of cavernous hemangioma and strawberry hemangioma were 93.87% and 84.90%, but that of plexiform hemangioma was 22.22% and those of portwine stain and central hemangioma of the jaws were 0%, respectively. Serious complications associated with Pingyangmycin injection, such as pulmonary fibrosis were not seen. CONCLUSION: Injection of Pingyangmycin is selective primary method for cavernous and strawberry hemangioma treatment.