【摘要】 目的探讨糖皮质激素及手术治疗对婴幼儿血管瘤的效果。方法2003年7月~2006年7月对本院收治1~3个月婴儿草莓状血管瘤26例予盐酸曲安奈德注射液瘤体内注射(1 mg/cm2,总量不超过2 mg/kg),2~3周1次,共3~5次;3个月以上婴儿草莓状及海绵状血管瘤50例予手术切除,缺损较大者以皮片移植或局部皮瓣转移修复。其中创口直接缝合38例,植皮3例,以局部皮瓣转移修复9例。结果草莓状血管瘤26例经激素注射1、2次充血减轻,4、5次瘤体均变平,边缘萎缩。手术50例,术后皮片皮瓣均成活,形态良好。结论激素注射是控制小龄婴儿血管瘤安全、可靠、简便方法,对大龄患儿可耐受手术及麻醉则以手术切除效果为佳。更多还原

【Abstract】 Objective To evaluate the effect of intralesional corticosteroid therapy and surgical excision for infantile hemangiomas.Methods From Jul.2003 to Jul.2006 intralesional triamcinolone acetonid injections(the does of injection was 1 mg/cm2 per time,but not exceeding 2 mg/kg)were perfomed in 26 infants with hemangiomas aged 1 to 3 months at the first injection.Three to 4 injections were given,spaced 2 to 3 weeks apart.Fifty infants with hemangiomas aged 3 to 16 months were surgical excision.And 38 cases of wound surface were repaired by suture,3 cases by dermatoplasty,and 9 caaes by transferring of skin flap.Results Twenty-six hemangiomas were hyperemia to lessen after 1 or 2 injections,and were softening after 4 or 5 injections.Fifty infants with hemangiomas were surgical excision.Conclusion To the younger infants,intralesional corticosteroid is a simple safe and effective method,but to the older infant who can tolerance operation and anesthesia,surgical excision maybe a proper treatment.更多还原