Apfelberg D B, Lane B, Marx M P
Department of Plastic Surgery, Palo Alto Medical Foundation.
Plast Reconstr Surg. 1991 Jul;88(1):71-82. doi: 10.1097/00006534-199107000-00013.
Thirteen patients have been treated over a 2-year period utilizing a team approach between the radiology and surgical services. Initial diagnostic evaluation is directed at determining the size and anatomic extent of the hemangioma; clinical assessment of coagulation and hemodynamic status is also performed. Arteriography with superselective embolization precedes the surgical procedure, usually by 24 hours. The YAG laser with contact sapphire-tip scalpels is then utilized for resection and reconstruction of the hemangioma. Total removal of hemangioma was achieved in 9 of 13 patients, and partial or subtotal removal was achieved in the remainder. Blood loss and complications were minimal.
在两年的时间里，采用放射科和外科服务团队协作的方法对13名患者进行了治疗。初始诊断评估旨在确定血管瘤的大小和解剖范围；同时也对凝血和血流动力学状态进行临床评估。手术前通常提前24小时进行超选择性栓塞动脉造影。然后使用配有接触式蓝宝石头手术刀的YAG激光进行血管瘤的切除和重建。13名患者中有9名实现了血管瘤的完全切除，其余患者实现了部分或次全切除。失血量和并发症极少。
