摘要
目的观察与记录婴幼儿血管瘤自然消退完成的年龄与美容结果。方法回顾研究北京大学口腔医学院口腔颌面外科1986至2004年49例婴幼儿血管瘤的发病年龄、初诊年龄、性别。用照片记录血管瘤的部位与体积,每隔3～12个月随访1次,直到血管瘤完全消退为止。49例中用泼尼松治疗16例,修整手术5例,其余33例未经任何治疗,观察并用照片记录直到自然消退为止。结果49例婴幼儿血管瘤中的33例(67%)完全自然消退,完全消退的年龄最早9个月,最晚10岁,平均5.4岁。消退后不留过多的皮肤、纤维脂肪、瘢痕,无血管扩张,有很好的美容结果。结论除具有严重并发症的婴幼儿血管瘤,例如扩张、破坏、阻塞或充血性心力衰竭时需即刻积极治疗以外,绝大多数患儿(观察随访到5～6岁)可完全消退,获得满意的效果。
Objective To observe the management results of hemangioma in infants and children. Methods Forty-nine cases of hemangioma in infants and children managed from 1986 to 2004 were reviewed . During the management period, the incidence and first visit age and sex were recorded . The location and volume of the lesions were photographed and followed up at an interval of 3 to 12 months until the complete involution of the tumor. The treatment modalities used included local injection of prednisone in 16 cases , surgery in 6 cases , and the remaining 33 cases were observed without treatment . Results Thirty-threecases receiving no treatment involuted naturally . The complete involution age was found from 9 months to 10 years with average age of 5.4 years . The cosmetic results after involution were good. Conclusions Most nemaugiomas do not need treatment and can involute naturally. However, in cases with severe complications such as expausion, destruction and obstructive or congestive heart failure, treatment is indicated.
出处
《中华口腔医学杂志》
CAS
CSCD
北大核心
2005年第3期187-190,共4页
Chinese Journal of Stomatology
