Grantzow R
Kinderchirurgische Klinik, Ludwig-Maximilian-Universität, Lindwurmstrasse 4, 80337 München.
Kongressbd Dtsch Ges Chir Kongr. 2001;118:521-4.
Hemangiomas are the most common soft tissue tumours in childhood, which arise after birth, grow for several months and regress spontaneously. Serious problems can occur with closure of the eye resulting in amblyopia or with psychologica problems due to disfiguring of the face. Therapeutic possibilities are cryo therapy, laser therapy and surgical removal. Cryotherapy can be used for small and flat hemangiomas. Bigger hemangiomas are treated with the Nd-YAG laser. Its effect is an acceleration of involution. Typical residues of hemangiomas must be secondarily corrected surgically. Indications for primary surgical therapy are hemangiomas of the eye lid and in the scalp.
血管瘤是儿童期最常见的软组织肿瘤，出生后出现，生长数月后自行消退。眼部闭合可导致弱视，面部毁容可引发心理问题，这些都会带来严重后果。治疗方法有冷冻疗法、激光疗法和手术切除。冷冻疗法可用于治疗小而扁平的血管瘤。较大的血管瘤则用钕钇铝石榴石激光治疗，其作用是加速血管瘤消退。典型的血管瘤残留必须通过手术进行二次矫正。原发性手术治疗的指征是眼睑和头皮的血管瘤。
