儿童头颈部血管畸形的外科治疗：42 例回顾性分析。
Surgical management of head and neck vascular anomalies in children: a retrospective analysis of 42 patients.
机构信息
Lecturer, Oral and Maxillofacial Surgery, Dental School, University of Athens, Athens, Greece.
Clinical Assistant, Dental School, University of Athens, Athens, Greece.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol. 2014 Jan;117(1):e22-31. doi: 10.1016/j.oooo.2012.02.039. Epub 2012 Aug 24.
OBJECTIVE
This article aimed to present a series of surgically treated head and neck vascular anomalies during a 12-year period, highlighting the epidemiology, diagnostic approach, indications for surgery, and final clinical outcome.
STUDY DESIGN
The medical records of all patients with head and neck vascular anomalies, surgically treated at our department from 1998 to 2010, were reviewed retrospectively.
RESULTS
A total of 42 patients with 46 vascular anomalies were identified. Patients' diagnoses included vascular tumors, hemangiomas mainly (18 cases), and various vascular malformations (26 cases). All patients were submitted to surgical treatment (excision-resection) to resolve main clinical symptoms (ulceration, bleeding, impaired mastication and feeding, airway obstruction) and/or esthetic issues. Recurrence was noted in 3 patients.
CONCLUSION
Accurate differential diagnosis based on history, physical examination, and imaging, is the key to optimal treatment. Surgical intervention is warranted for small to moderately extended lesions to avoid complications and/or esthetic concerns and psychosocial distress.
目的
本文旨在介绍 12 年间经手术治疗的一系列头颈部血管异常，重点阐述其流行病学、诊断方法、手术适应证和最终临床结果。
设计
回顾性分析了 1998 年至 2010 年我科收治的所有头颈部血管异常患者的病历资料。
结果
共发现 42 例患者存在 46 处血管异常，患者的诊断包括血管肿瘤（18 例，主要为血管瘤）和各种血管畸形（26 例）。所有患者均接受手术治疗（切除）以解决主要临床症状（溃疡、出血、咀嚼和进食困难、气道阻塞）和/或美容问题。3 例患者出现复发。
结论
基于病史、体格检查和影像学检查进行准确的鉴别诊断是获得最佳治疗效果的关键。对于小至中等范围的病变，需要进行手术干预，以避免并发症和/或美容问题及心理社会困扰。
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