摘要
血管瘤(hemangioma)是婴幼儿最常见的良性肿瘤之一,40%～60%发生于头颈部。该肿瘤虽然具有自行消退的特点,但少数肿瘤由于生长迅速或位于重要的器官,压迫周围组织,可引起严重的畸形和功能障碍,甚至威胁生命,必须采取积极的治疗措施。目前,血管瘤的治疗方法主要有药物治疗、激光治疗及手术治疗等,但迄今尚无一种方法可以治疗所有类型的血管瘤。应根据血管瘤部位、大小、范围、深度、分期、功能影响以及对患儿的心理影响等因素的不同,制定个体化治疗方案。对于复杂和重症病例,需采用综合序列治疗,以期获得最佳疗效。本文参考国内外相关文献和诊治经验,制定口腔颌面部血管瘤治疗指南,希望对临床治疗起到规范和指导作用。本指南将及时予以更新,以反映和纳入最新研究成果,为广大患者提供最好的治疗方案。
Hemangiomas are the most common benign vascular tumors of infancy and childhood,and 40%-60% occur in the head and neck region.As hemangioma could regress spontaneously,it generally do not require treatment unless proliferation interferes with normal function or gives rise to risk of serious disfigurement and complications unlikely to resolve without treatment.Various methods to infantile hemangiomas have been described,including wait and see policy,laser therapy,drug therapy（corticosteroid,imiquimod,propranolol）,sclerotherapy（corticosteroid,pingyangmycin）,radiotherapy,surgery and so on,but none of these therapies can be used for all hemangiomas.The type of treatment advised for hemangioma mainly depends on the location,depth,size,current phase and functional impairment of lesions.The treatment protocol should be individualized and comprehensive as well as sequential,in order to obtain the best treatment outcome for an individual.Based on the published literatures and clinical experiences,we establish a treatment guideline to provide a criterion for the management of oral and maxillofacial hemangiomas.This protocol will be renewed and updated to include and reflect the cutting edge knowledge,and provide newest treatment modalities to benefit our patients.
出处
《中国口腔颌面外科杂志》
CAS
2011年第1期61-67,共7页
China Journal of Oral and Maxillofacial Surgery
关键词
口腔颌面部
血管瘤
治疗指南
Oral and maxillofacial region
Hemangioma
Guideline
