平阳霉素瘤腔注射联合Nd∶YAG激光治疗颊面部和舌体血管瘤.pdfVIP

山 z压学院学握 2007年11月 第17卷 第4期 Journal of Shanxi Modical Co~ege for Continuing Education Vo1．17 No．4 Nov．2007 平阳霉素瘤腔注射联合Nd：YAG激光 治疗颊面部和舌体血管瘤 刘志荣，谌儒生 (山西省人民医院，山西 太原 030012) [摘 要] 目的：评估联合应用平阳霉素瘤腔注射和Nd：YAG激光治疗颊面部和舌体血管瘤的疗效。方法：首先 行相关检查排除患者有系统疾患。治疗前先将平阳霉素8 mg于1％利多卡因注射液4 mI 中，再加入泼尼松龙1 HlIJ (25 mg)混匀后，进行血管瘤瘤腔注射，注射后 1周在瘤腔表面使用 Nd：YAG激光行表面照射凝固。对 30例患者 术后5年 ～l0年进行随访，并分析其临床资料进行疗效判断。结果：30例病例中，完全治愈 23例，基本治愈 4 例，显效3例，治愈率77％，总有效率100％。结论：平阳霉素瘤腔注射联合 Nd：YAG激光治疗颊面部和舌体血管 瘤是一种有效的治疗手段。 [关键词] 血管瘤；平阳霉素；激光治疗 [中图分类号] R739．86 [文献标识码] A [文章编号] 1671—0126(2007)04—0003—02 Pingyangmycin Intratumor Injection Combined Nd：YAG Laser Irradiation in Treat— ment of Hemangioma of Buccofacial and Tongue Body LIU Zhimng．CI{I N Rusheng ( anxi ProvinciaZ People’s Hospital，Taiyuan 030012，Shanxi，China) [ABSTRACT]Objective：To evaluate curative effects with pingyangmycin intratumor injection combined with Nd：YAG laser in treatment of hemangioma of buccofacial and tongue body．Methods：Some correlated examinations were first done to see if the patients had system diseases．Before treatment，pingyangmycin 8 mg Was dissolved in 4 mL 1％dolicaine injection and then prednisolone 1 mL(25 mg)Was added and mixed to carD7 out the intratumor injection．The hemangioma SUl~ace was irra— diated with Nd：YAG laser until solidification after a week of intratumor injection．Thirty patients were followed up for 5—10 years to analyze the clinical date and estimate the curative judgment．Results：Twenty—three cases were cured completely， 4 cases were cured basically and 3 cases were effectual among 30 cases．The curative rate was 77％ and the total effective rate was 100％．Conclusion：Pingyangmycin intratumor injection combined with Nd：YAG laser is a kind of efficient means in treatment of hemangioma of buccofacial and tongue body． [KEYWORDSj hemangioma；pingyangmycin；laser therapy 血管瘤好发于颊面部和舌体，常引起颜面和舌体畸 1．2 治行方法 形和功能障碍，还可继发感染、出血等并发症，治疗方法