【摘要】 目的探讨血管瘤和血管畸形的治疗方法。方法回顾性分析6年余863例血管瘤和各类血管畸形住院患者的临床资料。男414例,女449例;年龄2周至55岁。针对病变类型、发生的部位、累及范围及患者自身情况选择不同的治疗方案:手术切除者746例,手术结合硬化治疗者89例,介入治疗者20例,介入结合手术治疗者8例。结果(1)术后近期疗效:治愈772例(89.46%),显效78例(9.04%),好转13例(1.5%)。(2)620例患者获随访0.5～3.0年,治愈556例(89.68%),显效51例(8.23%),好转13例(2.09%)。结论合理的手术对于局限的病灶是理想的治疗方案,而对于范围广,部位深,无法手术完全切除者可予非手术治疗或手术为主的综合治疗方案。更多还原

【Abstract】 Objective To explore ideal treatment strategy for hemangioma and vascular malformations.Methods The clinical data of 863 cases of hemangioma and vascular malformation were analyzed retrospectively.There were 414 male and 449 female patients,The ages ranged from 2 weeks to 55 years.Among these cases,742 were hemangioma while 121 were vascular malformation.The different treatment methods were selected based on the type,location,and extent of the lesion and the patient′s individnal situation.Seven hundred and forty-six patients underwent surgical treatment,89 patients underwent operation combined with sclerotherapy,and 28 patients received embolization of feeding arteries with or without operation.Results Early postoperative results showed that 772 cases(89.46%) were cured,78 cases(9.04%) markedly improved and 13 cases(1.5%) improved.A total of 620 cases were followed up for 0.5-3.0y,of which,556 cases(89.68%) were cured,51 cases(8.23%) markedly improvod,and 13 cases(2.09%) had improved.Conclusions Operation is ideal strategy for the limited disease focus,while non-surgical treatment is necessary for patients with extensive and deep lesions or who are not fit for surgical treatment.Combining surgical treatment and non-surgical treatment can achieve better therapeutic efficiency.更多还原