小针电凝治疗体表血管瘤的疗效分析

小针电凝治疗体表血管瘤的疗效分析

于海生¹,陈石海¹,吴伟民²,韦强¹,刘庆丰¹,廖明德¹

1. 广西医科大学第一附属医院整形美容外科
2. 广西中医学院附属瑞康医院整形美容外科

收稿日期:2011-01-26 修回日期:2011-06-11 出版日期:2011-12-15 发布日期:2011-12-15
通讯作者: 陈石海

Clinical application and research of the treatment of superficial hemangiomas by high-frequency electrocoagulation using fine needle

Received:2011-01-26 Revised:2011-06-11 Published:2011-12-15 Online:2011-12-15

于海生1 ,陈石海1 ,吴伟民2 ,韦强1 ,刘庆丰1 ,廖明德1 . 小针电凝治疗体表血管瘤的疗效分析[J]. .

摘要/Abstract

摘要： 【摘要】目的:探讨小针高频电凝治疗体表血管瘤的治疗效果，适应症的选择及并发症的防治。方法: 回顾分析我科2007年7月至2008年6月间应用小针高频电凝治疗体表血管瘤684例共721个瘤体的临床资料。结果: 本组病例共721处病变中，治愈率53.3％，显效率35％，总有效率88.3％。门诊随访时间12个月至20个月。30处出现色素沉着（15.2％），12处出现表浅性疤痕（6.1％），2处出现局部感染（1％），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, 高频电凝, 体表血管瘤

Abstract: [Abstract] Objective: The study aims at observing the therapeutic efficacy of the superficial hemangiomas, the choice of the indication and the prevention of the adverse effects by the high-frequency electrocoagulation using fine needle.Methods: Between Junly 2007 and June 2008,the 184 cases (197 Lesions)with hemangiomas were treated with high-frequency electrocoagulation using fine needle.Analysising of the clinical date, treatment effects,indications and complication of all cases.Results: The care rate and obvious effects rate of the total lesions were respetively 53.3% and 35%,and the total effective rate was 88.3%.All the patients were followed up for 12-20 months. Among 197 lesions,30 lesions presented pigmentation (15.2％),12 lesions had superficial scar (6.1%),2 lesions had local infection (1%),and no other adverse reactions and accidental injury.Conclusions: It is a safe,efficiency therapeutic technique and easy for operating surgeons to treat superficial hemangiomas by high-frequency electrocoagulation using fine needle.The technique is suitable especially for the treatment of middle or small hemangionmas,in addition which utmostly remains normal anatomic form and function.

Key words: fine needle, high-frequency electrocoagulation, superficial hemangiomas