儿童腮腺区血管瘤的治疗方法探讨

明澄, 张铁松, 马静, 等. 儿童腮腺区血管瘤的治疗方法探讨[J]. 临床耳鼻咽喉头颈外科杂志, 2019, 33(11): 1076-1080. doi: 10.13201/j.issn.1001-1781.2019.11.017
引用本文: 明澄, 张铁松, 马静, 等. 儿童腮腺区血管瘤的治疗方法探讨[J]. 临床耳鼻咽喉头颈外科杂志, 2019, 33(11): 1076-1080. doi: 10.13201/j.issn.1001-1781.2019.11.017
MING Cheng, ZHANG Tiesong, MA Jing, et al. Treatment of parotid hemangioma in children[J]. J Clin Otorhinolaryngol Head Neck Surg, 2019, 33(11): 1076-1080. doi: 10.13201/j.issn.1001-1781.2019.11.017
Citation: MING Cheng, ZHANG Tiesong, MA Jing, et al. Treatment of parotid hemangioma in children[J]. J Clin Otorhinolaryngol Head Neck Surg, 2019, 33(11): 1076-1080. doi: 10.13201/j.issn.1001-1781.2019.11.017

儿童腮腺区血管瘤的治疗方法探讨

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    通讯作者: 马静,E-mail:majing@etyy.cn
  • 中图分类号: R 765

Treatment of parotid hemangioma in children

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  • 目的:总结儿童腮腺区血管瘤的治疗方法及效果。方法:33例儿童腮腺区血管瘤,药物治疗22例,其中9例(27%)口服普萘洛尔,13例(40%)行B超引导下博来霉素多点注射;另11例(33%)采用手术切除血管瘤的治疗方式。结果:22例行药物治疗的患儿,治疗效果评价采用Achauer等提出的分级标准:Ⅳ级12例(54.5%);Ⅲ级7例(31.8%);Ⅱ级2例(9%);Ⅰ级1例(4.5%);其中2例(Ⅰ、Ⅱ级各1例)疗效患儿药物治疗6个月后行手术切除血管瘤。11例儿童行手术切除血管瘤,8例(73%)完整切除肿瘤,其中3例手术中残留血管瘤组织,给予残留瘤体注射博来霉素治疗。本组药物治疗显示,年龄<12个月患儿,口服普萘洛尔后,瘤体均可见不同程度地缩小,给药1周内变化最为显著,之后瘤体进一步缩小,直至治疗结束。结论:B超引导下博来霉素多点注射治疗儿童腮腺区血管瘤效果确切,不良反应发生率低,但需注射多个疗程;针对药物治疗效果不佳、复发或范围局限的患儿,可以选择手术切除血管瘤;手术应注意适应证的选择及手术操作技能,减少面神经损伤风险及术后面部遗留瘢痕。
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收稿日期:  2019-04-15

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