335例先天性血管畸形诊断治疗体会

目的：探讨先天性血管畸形（血管瘤）诊断与治疗的方法。方法：分析３３５例血管瘤的临床表现、体格检查、辅助检查和造影、ＣＴ、ＭＲＩ等及治疗方法如手术、手术结合铜针、铜针、硬化剂、术中缝扎和电凝的应用。结果：本组手术切除１６１例,部分切除８１例,硬化剂注射３２例,铜针治疗１８例,需植皮４７例,皮瓣修复１９例,Ⅰ期治疗２８４例,分期治疗３５例,达到“治愈”或“缓解”的３１０例。效果差者多为蔓状血管瘤,最终

The Diagnosis and Treatment of Congenital Vascular Malformation: Report of335 Cases

Objective: To study the diagnosis and treatment of the congenital vascular malformation (haemoangioma). Methods: Analyzing the application of clinical manifestation, physical examination, angiography, CT and MRI in diagnosis and the application of operation, operation with copper needle therapy, copper needle therapy, injection therapy and suturing and/or coagulation during surgery in 335 cases of hemangioma. Results: The techniques included the excision(161 cases), partial excision(81 cases), injection therapy(32 cases), copper needle therapy(18 cases), split - thickness skin graft(47 cases), skin flap(19 cases). 284 patients got one course of treatment. 35 patients got multiple courses. 310 patients were cure and relief. There were 5 amputation and 5 ulceration in 51 congenital aterio - vasclar malformation. The heal of wound and the taken of the skin graft delayed in 36 cases. Conclusion: 1. The "location" or "anatomy" diagnosis about the range,the depth and the involvement of important tissue of the lesion should be made to supply a few points for treatment in addition to the traditional diagnosis of capillary, cavernous or racemose hemangioma. 2. Hemangioma sould be treated promptly. Operation is the main method for treatment of hemangioma. The other techniques include injection therapy, cooper needle therapy, suturing and coagulation.