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[成人颌面部血管瘤性疾病及其治疗]

[Angiomatous diseases in the maxillofacial region and their treatment in adults].

作者信息

Kleine-Natrop H E

出版信息

Zahn Mund Kieferheilkd Zentralbl. 1979;67(8):819-27.

PMID:162117
Abstract

"Angioma"-situations in the newborn are common, but even in adults one may find more or less common situations, more or less difficult to manage. - In any way, like in the early childhood, the differentiation between inborn teleangiectatic or angiokeratotic nevi and the capillary angioma or angiomatous nevi is very important concerning the prognostic and therapeutic consequences. The real newborn capillary angiomas are selfhealing. Nearly they are not found in adults and otherwise surgically treated in the same simple matter as little teleangiectasias and the eruptive "granuloma" teleangiectaticum. On the other hand late tuberous alterations of non selfhealing naevus flammeus, naevus angiokeratoticus and the teleangiectatic "angioma" racemosum of the orofacial region give a slot of surgical problems and no sufficient effect to different kinds of radiotherapy. - These situations are presented, discussed and documented, moreover some rare uncommon situations, e.g. blue rubber-bleb nevus-syndroma, and angiokeratotic nevus together with different well checked therapeutic methods and results.

摘要

新生儿期的“血管瘤”情况很常见,但即便在成年人中也可能发现或多或少常见的情况,处理起来或多或少有些困难。——无论如何,就像在幼儿期一样,对于先天性毛细血管扩张性或血管角化性痣与毛细血管瘤或血管瘤性痣之间的鉴别,在预后和治疗结果方面非常重要。真正的新生儿毛细血管瘤是可自愈的。在成年人中几乎见不到,否则就像小的毛细血管扩张和爆发性“肉芽肿性”毛细血管扩张一样,以同样简单的方式进行手术治疗。另一方面,面部区域非自愈性火焰痣、血管角化痣和蔓状“血管瘤”的晚期结节性改变会带来一系列手术问题,且对不同类型的放射治疗效果不佳。——现将这些情况进行呈现、讨论并记录,此外还包括一些罕见的不常见情况,例如蓝色橡皮疱痣综合征、血管角化痣,以及不同经过充分验证的治疗方法和结果。

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