先天性血管病变新旧分类比较与治疗选择  

NEW CLASSIFICATION OF CONGENITAL VASCULAR LESION AND ITS APPLICATION IN CHOICE OF TREATMENT

作　　者：任莉[1] 孔令彩[1] 秦中平 

机构地区：[1]临沂市中医医院,山东临沂276003 [2]临沂市肿瘤医院

出　　处：《临沂医学专科学校学报》2005年第4期241-243,F0003,共4页Journal of Linyi Medical College

摘　　要：目的探讨先天性血管病变Mulliken新分类的临床实用价值。方法根据Mulliken和Glowacki提出的血管病变分类标准,对我院既往126例头面颈部血管瘤标本进行了常规苏木精-伊红染色、镜检分析,甲苯胺兰肥大细胞染色,镜下肥大细胞计数及核仁组成区嗜银蛋白染色(Ag-NOR)。结果126例中组织学分类为血管瘤71例,血管畸形55例,二者在组织结构、生物学特性和临床表现上有明显区别。结论Mulliken等关于先天性血管病变的新分类科学、合理,有利于治疗方案的选择和预后的判断。Objective To explore the clinical value of the Mulliken＇ s classification of congenital vascular lesions. Methods According to the new classification suggested by Mulliken and Glowacki, the specimens of head and maxillofacial region of 126 cases underwent hematoxylin-eosin staining, microscopy analysis, toluidine blue mastocyte staining,counting of mastocytes under microscope and AnNOR staining in nucleolar area. Results 71 cases were found to be hemangioma, 55 cases vascular malformation. There were great differences in histological structures, biological characteristics and clinical symptoms between the two kinds of disease. Conclusion The new classification suggested by Mulliken has proven to be scientific and benefical to the choice of treatments and the judgement of prognosis.

关 键 词：先天性血管病变 血管瘤 血管畸形 组织学分类 

分 类 号：R543[医药卫生—心血管疾病]