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口腔颌面区域软组织海绵状血管瘤的外科治疗(作者译)

[The surgical treatment cavernous haemangioma of the soft tissues in the orofaciale region (author's transl)].

作者信息

Andrä A

出版信息

Zahn Mund Kieferheilkd Zentralbl. 1979;67(3):227-34.

PMID:158267
Abstract

The experience gathered in therapy of 85 cavernous haemangioma allows to make the following conclusions: -The therapy of canernous haemangioma is very flexible. Localisation, expansion, increasing, aesthetical and functional troubles determine the indication for the therapeutical way. -Cavernous haemangioma must be operated in early infancy. The complete excision is the best method. The conservative control only with the outlook of a spontanremission is unsafe. -Big haemangioma will be treated by a combined treatment (destroying of blood vessels + surgical therapy). After injection of sclerosing solutions it is possible to exstirpate the haemangioma completely. -Extensive plastic and reconstructive operations will be done first after age of twenty years. The use of adjacent flaps shows suitable results.

摘要

对85例海绵状血管瘤的治疗经验可得出以下结论:- 海绵状血管瘤的治疗非常灵活。其位置、范围、增大情况、美学和功能问题决定了治疗方法的选择。- 海绵状血管瘤必须在婴儿早期进行手术。完整切除是最佳方法。仅寄希望于自发消退而采取保守治疗是不安全的。- 大型血管瘤将采用联合治疗(血管破坏 + 手术治疗)。注射硬化剂后有可能完全切除血管瘤。- 广泛的整形和重建手术将在20岁以后首先进行。使用邻近皮瓣效果良好。

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