Zeng Xiang-hui, Zhao Fu-yun, Zhang Jian-guo, Zhang Zhen-kang, Yu Guang-yan, He Dong-mei
Department of Oral and Maxillofacial Surgery, Peking University School of Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2005 May;40(3):187-90.
To observe the management results of hemangioma in infants and children.
Forty-nine cases of hemangioma in infants and children managed from 1986 to 2004 were reviewed. During the management period, the incidence and first visit age and sex were recorded. The location and volume of the lesions were photographed and followed up at an interval of 3 to 12 months until the complete involution of the tumor. The treatment modalities used included local injection of prednisone in 16 cases, surgery in 6 cases, and the remaining 33 cases were observed without treatment.
Thirty-three cases receiving no treatment involuted naturally. The complete involution age was found from 9 months to 10 years with average age of 5.4 years. The cosmetic results after involution were good.
Most hemangiomas do not need treatment and can involute naturally. However, in cases with severe complications such as expansion, destruction and obstructive or congestive heart failure, treatment is indicated.
观察婴幼儿血管瘤的治疗效果。
回顾性分析1986年至2004年收治的49例婴幼儿血管瘤病例。治疗期间，记录发病率、首次就诊年龄及性别。对病变部位和大小进行拍照，并每隔3至12个月进行随访，直至肿瘤完全消退。治疗方式包括16例局部注射泼尼松、6例手术治疗，其余33例未予治疗，仅作观察。
33例未经治疗的病例自然消退。完全消退年龄为9个月至10岁，平均年龄5.4岁。消退后的美容效果良好。
大多数血管瘤无需治疗，可自然消退。然而，对于出现如扩张、破坏、阻塞性或充血性心力衰竭等严重并发症的病例，则需进行治疗。
