华西口腔医学杂志

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婴幼儿面颈部浅表血管瘤的早期激光干预治疗

袁荣涛 贾暮云 冯元勇 尚伟 李宁毅   

  1. 青岛大学医学院附属医院口腔颌面外科, 山东青岛266003
  • 收稿日期:2008-04-25 修回日期:2008-04-25 出版日期:2008-04-20 发布日期:2008-04-20
  • 通讯作者: 袁荣涛,Tel:0532- 82911341
  • 作者简介:袁荣涛(1970-),男,山东人,副教授,博士

Ear ly laser intervention of hemangioma in facial and neck r egions of infant

YUAN Rong- tao, JIA Mu- yun, FENG Yuan- yong, SHANG Wei, LI Ning- yi   

  1. Dept. of Oral and Maxillofacial Surgery, The Affiliated Hospital of Medical College, Qingdao University, Qingdao 266003, China
  • Received:2008-04-25 Revised:2008-04-25 Online:2008-04-20 Published:2008-04-20
  • Contact: YUAN Rong- tao,Tel:0532- 82911341

摘要:

目的评价早期激光干预治疗婴幼儿面颈部浅表血管瘤的效果。方法选择1999年1月—2006年12月在青岛大学医学院附属医院口腔颌面外科就诊的12例婴幼儿血管瘤患者进行激光治疗,其中8例接受Nd:YAG激光治疗,4例接受Venus激光治疗。另外选择4例口服激素治疗的血管瘤患者作为对照。观察、记录血管瘤治疗前后的变化,并随访1~6年。结果激光照射治疗的12例婴幼儿患者面颈部血管瘤均完全消退,未遗留明显瘢痕,无明显并发症,随访1~6年无复发。口服激素治疗的4例患者的血管瘤进行性增大。结论早期激光干预是一种良好的婴幼儿面颈部血管瘤的治疗方法。

关键词: 血管瘤, 婴幼儿, 激光, 干预治疗

Abstract:

Objective The study was to evaluate the method of early laser intervention of hemangioma in facial and neck regions of infant. Methods Between January 1999 and December 2006, twelve patients, aged 6 days to 3 months, with cutaneous hemangioma in facial and neck regions, were treated with laser, eight cases with Nd:YAG laser therapy and four cases with Venus laser therapy. Four cases with hemangioma in facial and neck regions of infant treated with oral corticosteroid were as control. The outcome was recorded with 1 to 6 years of follow- up. Results Total resolution was obtained in twelve patients with laser intervention. Atrophic scars occurred in eight patients with Nd:YAG laser therapy, without other complications, such as ulceration, life- threatening hemorrhage and et al. No scar occurred in four patients with Venus laser therapy. Recurrence was not seen in twelve cases with laser therapy with follow- up. Hemangiomas enlarged continuously in four cases with oral corticosteroid therapy. Conclusion Early laser intervention is an excellent management of cutaneous hemangioma in facial and neck regions of infant.

Key words: hemangioma, infant, laser, intervention