放射介入联合口服普萘洛尔治疗儿童特殊血管瘤疗效观察  

The Efficacy of Radiological Intervention Combined Oral Propranolol Treatment on Children's Special Hemangioma

作　　者：郭严延 王立丹[1] 黄穗[1] 刘帆[1] 马琦[1] 李瑛[1] 

机构地区：[1]武汉市妇女儿童医疗保健中心影像中心,武汉430016

出　　处：《数理医药学杂志》2015年第11期1679-1681,共3页Journal of Mathematical Medicine

摘　　要：目的:探讨放射介入联合口服普萘洛尔治疗儿童特殊血管瘤的临床疗效。方法:对某科2010年1月~2013年12月收治的6563例血管瘤患儿进行统计,其中1097例为特殊血管瘤患儿,占16.7%.男512例,女585例,年龄为2d^10岁,采用经动脉栓塞介入治疗、瘤体穿刺造影后平阳霉素或聚桂醇局部注射介入治疗及口服普萘洛尔三种方法进行治疗。结果:治愈1033例(94.2%),显效34(3.1%)例,有效30例(2.7%),2例出现局部皮肤破溃,换药后创面愈合。治疗结束后平均随访12个月,无复发病例。结论:放射介入联合口服普萘洛尔治疗方案对儿童特殊血管瘤疗效显著,并发症少,最大限度保护了患儿的容貌及功能。Objective:To investigate the effect of radiological intervention combined oral propranolol in treating children with special hemangioma.Methods:6563 cases of hemangioma treated in some department form January 2010 to December 2013,1097 cases of them for special hemangioma were accounted for 16.7%, male 512 cases,female 585 cases,aged from 2 days to 10 years,Three methods for treatment:interventional therapy via artery embolism;pingyangmycin or lauromacrogol local inj ections after tumors puncture angiog-raphy and oral propranolol.Results:1033 cases were cured (94.2%),34 (3.1%)cases were significantly ef-fective,30 cases (2.7%)effective,2 cases with local skin ulcer,and wound healed after dressing changing. After an average 1 2 months of follow-up,no recurrence detected.Conclusion:Radiological intervention com-bined oral propranolol treatment on children's special hemangioma have significant effects,fewer complica-tions,and provide maximum protection of the appearance and function of children.

关 键 词：血管瘤 特殊类型 儿童 放射介入 普萘洛尔 

分 类 号：R732.2[医药卫生—肿瘤]