体表巨大血管瘤的综合治疗

目的总结体表巨大血管瘤的最佳治疗方案。方法 2004～2009年附属医院整形外科治疗体表巨大血管瘤54例。其中23例行术前血管介入栓塞,后行手术切除创面修复,31例直接行手术切除后创面修复。术中均进行周边缝扎、肾上腺素盐水浸润、电凝止血等辅助手段。术后复发病例进行平阳霉素局部注射治疗。结果术后随访6个月到4年,31例单纯行手术切除治愈26例（83.8%）,复发5例;23例术前介入栓塞者治愈21例（91.3%）复发2例。平阳霉素注射后未见复发。治愈率100%。结论选择性血管介入栓塞,术中间断缝扎、肾上腺素盐水浸润、电凝止血等有效的止血方法配合进行手术、术后平阳霉素局部注射是综合治疗体表巨大血管瘤一种效果良好的方法。

The compremhensive Combined Therapy Of The Body Surface Giant Hemangioma

Objective To summary the experience of treating the body surface giant hemangioma. Methods From 2004 to 2009 54 cases of body surface giant hemangioma were treated. Among 54 cases,23cases selected to treat by intervention-embolization before operation,31cases were treated by operation alone. We all used the method in operation such as silk string 、sympathetic hormone injection and electric coagulation. Results Followed up from 6 months to 4 years,31 cases had received surgery,26 were recovery 91. 3 and 5 of them were recurrence,21 cases of postoperative recarrence out of 23 cases（ 93. 3% ） ,2 cases were recurrence. 7 cases of postoperative recurrence. there are no recurrence after the injection of pingyangmycin. Conclusion selective embolization of the feeding arteries before operation、silk string 、sympathetic hormone injection and electric coagulation combined with surgical resection is a good treated method for the the body surface giant heman-gioma.