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作 者:王晓毅[1] 王昌美[1] 付风华[1] 高庆红[1]
出 处:《华西口腔医学杂志》1999年第3期244-247,共4页West China Journal of Stomatology
摘 要:目的 :探讨下颌骨中央性血管瘤的诊断与治疗方法。方法 :对 19例具有完整病历记录的下颌骨中央性血管瘤的病例进行回顾性研究 ,分析其表现特征及诊断和治疗。结果 :病变区牙移位和龈沟内自发性出血是其常见症状 ,选择性血管造影检查能明确病变位置、范围及营养血管。 19例患者中 4例行下颌骨部分切除术 ,10例行血管瘤刮除术 ,2例行鱼肝油酸钠注射治疗 ,3例未治。 14例手术治疗的患者中 ,除 1例因术中大出血后发生 DIC死亡外 ,其余 13例均得到根治 ,随访至今无复发。结论 :选择性动脉造影对下颌骨中央性血管瘤的诊断具有较高价值。血管瘤刮除术可作为儿童下颌骨中央性血管瘤的首选治疗方法。术中先结扎下齿槽动脉能大大减少出血量。Objective:To investigate methods of diagnosis and treatment of hemangiomas of the mandible. Methods:Nineteen cases of central hemangioma of the mandible treated in our department from 1971 to 1997 were studied retrospectively. Fourteen patients received surgical treatment in which ten patients had received complete curettage of the lesion and the other four had received part resection of the mandible. Results:The most common signs and symptoms of this lesion were hypermobility of teeth and episodes of spontaneous hemorrhage from the surrounding gingival sulcus. Selective angiography was significant in the diagnosis of this lesion. Fourteen patients received surgical treatment and thirteen lesions were removed completely, except that one died of massive bleeding at the operation and DIC on the next day. Conclusion:Selective angiography is useful to diagnosis the central hemangioma of mandible, and the complete curettage of the hemangiomas in the body of mandible is the most appropriate operation for children. At the same time, ligature of the inferior alveolar artery can reduce the risk of bleeding during operation.
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