铜针治疗体表血管瘤55例临床分析

目的 总结单纯铜针留置、铜针留置加瘤体缝扎、铜针留置结合平阳霉素注射、铜针直流通电治疗血管瘤的方法及临床效果.方法 1999年1月-2006年1月,采用铜针治疗体表血管瘤55例,其中男28例,女27例;年龄3～50岁,中位年龄19岁.其中海绵状血管瘤42例,蔓状血管瘤4例,混合性血管瘤9例.瘤体大小6cm×4cm～40cm×25cm.分别采用单纯铜针留置(29例)、铜针留置加瘤体缝扎(21例)、铜针留置结合平阳霉素注射(3例)、铜针直流通电(2例)治疗.结果 行铜针治疗1次50例,2次5例.术后获随访3～18个月,参照王永洁疗效评价标准,治愈15例(27.3%),好转38例(69.1%),无效2例(3.6%),总有效53例(96.4%),其中铜针留置结合瘤体缝扎或平阳霉素注射疗效显著.结论 铜针是治疗体表血管瘤的一种有效方法,采用铜针留置结合瘤体缝扎或平阳霉素注射可提高疗效.

CLINICAL ANALYSIS OF 55 CASES OF HEMANGIOMA IN SUPERFICIAL BODY TREATED WITH COPPER NEEDLES

OBJECTIVE: To analyze the clinical effect of retained copper needles well as neoplasm ligation, retained copper needles associated with Pingyangmycin injection and inserted copper needles followed by DC in treating hemangioma so as to treat hemangioma with copper needles. METHODS: From January 1999 to January 2006, 55 cases of hemangioma in superficial body were treated with copper needles, including 28 males and 27 females and aging 3-50 years(median 19 years). There were 42 cases of cavernous hemangiomas, 4 cases of racemose hemangiomas and 9 cases of multiplicate hemangiomas. The size ranged from 6 cm x 4 cm to 40 cm x 25 cm. Retaining copper needles were used in 29 cases, retaining copper needles with ligating neoplasm in 21 cases, retaining copper needles associated with Pingyangmycin injection in 3 cases and inserting copper needles followed by DC in 2 cases. RESULTS: Fifty cases were treated with copper needles only once and 5 cases twice. All cases were followed up for three to eighteen months. According to Wang Yongjie's criterion, 15 (27.3%) cases were cured, 38 (69.1%) improved, and 2 (3.6%) failed to respond; the response rate was 96.4% (53). CONCLUSION: Copper needle is effective for treating hemangioma in superficial body. Retaining copper needles with ligation neoplasm or with Pingyangmycin injection can achieve better effect.