摘要
目的探讨儿童期口腔颌面部大面积软组织血管瘤以整形外科手术原则治疗的效果及其手术并发症的防治。方法134例儿童期口腔颌面部血管瘤,其中婴儿期16例,幼儿期91例,学龄前期16例和学龄期11例。病变部位有腮腺区39.6%,唇部20.9%,颊部20.1%,眶下区9%,眶区7.5%和鼻部3%。手术方法为肿瘤手术切除同时用邻位皮瓣或皮片移植修复。结果治疗后经6个月至5年随访,治愈率、显效率、有效率和无效率分别为80.6%、15.7%、2.2%和1.5%,无严重并发症发生。结论整形外科手术切除治疗儿童口腔颌面部软组织大面积血管瘤在外形和功能均可获满意疗效而且安全。
Objective To evaluate plastic surgical procedures for the extensive soft tissue hemangiomas in the oral and maxillofacial regions in children and to explore prevention methods from surgical complications. Methods 134 patients with hemangiomas were surgically treated. The defects of soft tissue were repaired with pedicle flaps or skin grafts. Of the 134 patients, 16 were newborns, 91 infant, 16 at preschool age and 11 at school age. The location of hemangiomas included parotid gland （39.6%）, lip （20.9%）, buccal （20.1% ）, suborbital （9%）, orbital （7.5%） and nasal region （3%）. Results Follow-up from 6 months to 5 years showed that the cure rate was 80.6%, apparently effective rate was 15.7%, effective rate was 2.2% and ineffective rate was 1.5 %. No major surgical complications were found. Conclusion Extensive hemangiomas in the oral and maxillofacial regions in children were treated safely using plastic surgical procedures with satisfactory results csthctically and functionally.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2005年第6期461-463,共3页
Chinese Journal of Plastic Surgery
关键词
儿童
口腔颌面
血管瘤
外科切除
Children
Oral and maxillofaeial regions
Hemangioma
Surgical resection
