【作者】 曾祥辉； 赵福运； 何冬梅；

【Author】 ZENG Xiang-hui, ZHAO Fu-yun, HE Dong-mei.(Department of Oral and Maxillofacial Surgery, School of Stomatology,Peking University. Beijing 100081, China)

【机构】 北京大学口腔医学院口腔颌面外科；

【摘要】 目的:多次观察与记录婴幼儿血管瘤自然消退完成的年龄与美容结果。方法:回顾研究我科1986～2004年49例婴幼儿血管瘤的发病年龄、初诊年龄、性别,用像片记录肿瘤的部位与体积,每隔3～12个月随访一次,直到血管瘤完全消退为止。49例中,强的松治疗14例,修整手术5例,其余35例未经任何治疗。结果:49例婴幼儿血管瘤中的35例自然完全消退,完全消退的年龄最早9个月,最晚10岁,平均5.4岁。消退后不留过多的皮肤、纤维脂肪、瘢痕,无血管扩散,有很好的美容结果。结论:除具有严重并发症的婴幼儿血管瘤,例如扩张、破坏、阻塞或充血性心力衰竭,需即刻积极治疗以外,绝大部分患儿(观察随访到5～6岁)可完全消退,获得满意的效果。更多还原

【Abstract】 PURPOSE: Frequent observation and record of the age of infants and children with forty-nine cases of hemangioma in infants and children seen between 1986-2004. METHODS: The incidence time, first clinic consultant time and sex were recorded by taking photographs with an interval of 3 months to 12 months in the proliferation and involution phase of hemangioma. The results were appreciated by series of photographs until the involution phase is completed. RESULTS: 49 cases of infantile and childhood hemangiomas in the involution phase was completed by the average age of 5.4 year old (range from 9 months to 10 years). CONCLUSIONS: Most hemangiomas do not require treatment during the proliferation phase. However, hemangiomas with severe complications such as expansion, destruction, obstruction or congestive heart failure require prompt therapy. More hemangiomas were allowed to involute naturally. 35 patients allowed to undergo natural involution showed a very good cosmetic results, which means no redundant skin, scar, fibrofatty tissues or telangiectais were left.更多还原