铜针治疗血管瘤的疗效分析  

The evaluation of the treatment for the cavernous hemangioma and peripheral vascular disorders with copper needles

作　　者：王永洁[1] 高尚[1] 陈忠存[1] 王大玫[2] 

机构地区：[1]首都医科大学附属复兴医院整形外科北京整形整容外科研究中心,北京100038 [2]北京大学第三医院成形外科

出　　处：《中华整形外科杂志》2006年第4期279-282,共4页Chinese Journal of Plastic Surgery

摘　　要：目的分析铜针的各种使用方法对血管瘤的治疗效果。方法分别应用单纯留置铜针、通电后留置铜针、铜针通电后切除病变等方法治疗蔓状血管瘤、海绵状血管瘤或脉管畸形105例,统计分析术后早、晚期的疗效及复发情况。结果早期总有效率为94.3%,晚期总有效率为88.6%,复发率为28.6%,通电后切除效果最好,通电可以缩短留针时间42.6%,P<0.01,差异有统计学意义。结论应用铜针治疗海绵状血管瘤及脉管畸形疗效肯定,与通电方法相结合效果可以提高。Objective The goal of this study was to evaluate the effect of different methods of treating for the cavernous hemangioma and peripheral vascular disorders with copper needles. Methods 21 cases were treated with copper needle retention only, 57 cases were treated with copper needle retention combined with a direct current of 6 ~ 9 V, both the inserted needles were kept in the site until the reaction was over, for about 10 to 20 days, 27 cases were treated with copper needle insertion combined with a direct current, and then the affection was ablated immediately. Results The early effective rate, the long-term effective rate, and the recurrence rate of the total cases were 94.3 %, 88.6% and 28.6% respectively. Among the 3 groups, ablation of the affection after the use of copper needles and a direct current occupied the best results; copper needle retention combined with a direct current had a better result than copper needle retention only, and might shorten the time for therapy for about 42.6% （P 〈 0.01 ）; their long-term effective rate were 100%, 89.5% and 71.4% respectively. Conclusions The treatment for the cavernous hemangioma and peripheral vascular disorders with copper needles have a commendable result, copper needle retention combined with a direct current has a better result than copper needle retention only.

关 键 词：铜针 海绵状血管瘤 治疗 

分 类 号：R732.2[医药卫生—肿瘤] R654.3[医药卫生—临床医学]