小针高频电凝在体表血管瘤治疗中临床应用

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1、小针高频电凝在体表血管瘤治疗中临床应［摘要］目的：探讨小针高频电凝治疗体表血管瘤的治疗效果、适应证的选择及并发症的防治。方法：回顾分析我科2007年7月〜2010年12月应用小针高频电凝治疗体表血管瘤876例，共913处病变的临床资料。结果：本组病例共913处病变，治愈率58.16%,显效率30.23%,门诊随访时间6〜20个月。108处出现色素沉着(11.8%),45处出现表浅性瘢痕(4.9%),3处出现局部感染(0.3%),未见其他不良反应及意外损伤。结论：小针高频电凝治疗体表血管瘤是一种安全、有效、简单易行的治疗方法，尤其

2、适合于中小面积体表血管瘤及残余血管瘤的治疗，能较大限度地保留正常组织结构的解剖形态和功能，加速血管瘤的消退。［关键词］小针；电凝；体表血管瘤［中图分类号1R732.2E文献标识码］A［文章编号11008-6455(2011)04-0624-04Clinicalapplicationofthetreatmentofsuperficialhemangiomasbyhigh-frequencyelectrocoagulationusingfineneedleCHENShi-hail,WUWei-min2,YUHai-shengl,LI

3、UQing-fengl,WEIQiangl,LIAOMing-del,MENGXu-Chang1,MAKel(1.DepartmentofPlastic&CosmetologicalSurgery,TheFirstAffiliatedHospitalofGuangxiMedicalUniversity,Naning530021；2.RuikangHospitalofGuangxiTraditionalChineseMedicalUniversity,Naning530000,China)Abstract：ObjectiveThe

4、studyaimsatobservingthetherapeuticefficacyofthesuperficialhemangiomas,thechoiceoftheindicationandthepreventionoftheadverseeffectsbythehigh-frequencyelectrocoagulationusingfineneedle・MethodsBetweenJunly2007andDecember2010,the876cases(913Lesions)withhemangiomasweretrea

5、tedwithhigh-frequencyelectrocoagulationusingfineneedle.Analysisingoftheclinicaldate,treatmenteffects,indicationsandcomplicationofallcases.ResuItsThecarerateandobviouseffectsrateofthetotallesionswererespetively58.16%and30.23%.Allthepatientswerefollowedupfor6〜20months・

6、Among913lesions,108lesionspresentedpigmentation(11.8%),45lesionshadsuperficialscar(4.9%),3lesionshadlocalinfection(0.3%),andnootheradversereactionsandaccidentalinjury.ConclusionsItisasafe,efficiencytherapeutictechniqueandeasyforoperatingsurgeonstotreatsuperficialhema

7、ngiomasbyhigh-frequencyelectrocoagulationusingfineneedle.Thetechniqueissuitableespeciallyforthetreatmentofmiddleorsmallhemangionmas,inadditionwhichutmostlyremainsnormalanatomicformandfunction.Keywords:fineneedle；electrocoagulation；superficialhemangiomas血管瘤是婴幼儿常见的良性肿瘤

8、[1],约60%位于头、面颈部[2],位置表浅，具有快速增生的特性，除了造成美容缺陷外，还可以引起器官功能障碍，给患者及亲属带来极大的精神创伤和心理负担，因此，应积极进行干预治疗。笔者于2007年7月开始应用小针电凝治疗体表血管瘤取得了良好效果，现报道如下。1资