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巨大唇部动静脉畸形5例临床报告

Clinical report of 5 cases of huge lip arteriovenous malformation

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【作者】 贺国权熊磊戴德华唐祎周先略

【Author】 He Guo-quan,Xiong Lei.Dai De-hua,Tang Yi,Zhou Xian-lve.. (Stomatology Department of Jingzhou Centra hospital,Jing Zhou 434020,China)

【机构】 湖北省荆州市中心医院口腔科

【摘要】 目的:探讨巨大唇部动静脉畸形的临床特点及诊治方法。方法:5例唇动静脉畸形均为上唇部,病变范围占上唇部80%以上;采用双侧上唇动脉结扎术,术后3d天即行上唇根部2~3点点状注射鱼肝油酸钠,以后每2周注射一次,注射次数5~7次,待全唇无明显压缩感后,行唇部成形术。结果:随访1~5年,4例唇部形态正常,外形满意,瘤体无复发;1例局部复发,经硬化剂注射后,形态恢复。结论:巨大唇部动静脉畸形选择适当的治疗方式,可达到较为理想的治疗效果。

【Abstract】 Object:To investigate the clinical characteristics and treatment methods of huge lip arteriovenous malformation.Methods:Five cases of lip arteriovenous malformation were in the upper lips,which accounted the scope of the upper lip for more than 80%.All cases were performed bilateral upper lip artery ligation.Three days after surgery,point injection(2~3 points) of sodium morrhuale was implemented in the roots of the upper lip,then injection once every two weeks,the injection frequency were 5 to 7 times.Then cheiloplasty was curried out when the upper lip was no obvious sensitivity of oppression.Results:Follow up 1 to 4years.4 cases of lip patterns were normal,no lesion recurrence. Only one case relaps in local area,after re-injection of sclerosing agent,the appearance of lip recovered.Conclusion:Choose proper treatment of huge lip arteriovenous malformation,ideal result can be achieved.

【关键词】 动静脉畸形硬化治疗
【Key words】 LipArteriovenous malformationSclerosing injection
  • 【会议录名称】 第八次全国口腔颌面—头颈肿瘤会议论文汇编
  • 【会议名称】第八次全国口腔颌面—头颈肿瘤会议
  • 【会议时间】2009-09-10
  • 【会议地点】中国山东威海
  • 【分类号】R782.2
  • 【主办单位】中华口腔医学会口腔颌面外科专业委员会口腔颌面—头颈肿瘤学组
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