复方平阳霉素联合长脉宽1064nm激光治疗静脉血管畸形  

Compound Pingyangmycin combined long-pulse 1 064 nm laser in treatment of venous malformation

作　　者：易阳艳[1] 王朝慧[1] 戴江华[1] 袁敬东[1] 林涛[1] 

机构地区：[1]南昌大学第二附属医院,江西南昌330006

出　　处：《中国现代医学杂志》2014年第6期56-60,共5页China Journal of Modern Medicine

摘　　要：目的观察复方平阳霉素联合长脉宽1 064 nm激光治疗皮肤静脉血管畸形的疗效。方法 47例皮肤静脉血管畸形的患者先瘤内注射平阳霉素、地塞米松、明胶海绵和利多卡因的混合药液,待瘤体明显变薄（厚度约0.8 cm）后,再选用长脉宽1 064 nm Gentle YAG激光治疗。结果治疗后随访6~12个月,完全治愈23例（48.94%）,基本治愈15例（31.91%）,显效6例（12.77%）,好转3例（6.38%）,无效0例（0%）,总有效率93.62%。结论复方平阳霉素联合长脉宽1 064 nm激光治疗皮肤静脉血管畸形能有效避免单一治疗方法的不足,疗效高,复发率低。[ Objective ] To observe the effect of compound Pingyangmycin combining long- pulse 1 064 nm Laser to treat venous malformation. [ Methods] At first, 47 cases of patients with skin venous malformation were treated with compound Pingyangmycin, which mixed with Pingyangmycin, Dexamethasone, gelatin sponge and Lidocaine. Then treated by long pulse 1 064 nm Gentle YAG Laser when the tumor was significantly thinner （thickness of he- man-gioma is about 0.8 cm）. [Results] Follow up of 6 to12 months, 23 cases （48.94%） gained complete healing, 15 cases （31.91%） gained basic healing,6 cases（12.77%） gained marked effect, 3 cases （6.38%） gained effective therapy, 0 cases （0%） was ineffective, and total effective rate was 93.62%. [Conclusions] The treatment of compound Pingyangmycin combining long-pulse 1 064 nm Laser can effectively avoid the deficiency of the single treatment. And it is also a safe and effective method in treat venous malformation and has little side effect.

关 键 词：静脉血管畸形 平阳霉素 地塞米松 明胶海绵 长脉宽1 064 nm GENTLE YAG激光 疗效 

分 类 号：R739.8[医药卫生—肿瘤]