Washington Institute of Dermatologic Laser Surgery, Washington, District of Columbia 20005, USA.
Dermatol Surg. 2013 Aug;39(8):1137-46. doi: 10.1111/dsu.12129. Epub 2013 Feb 4.
Vascular anomalies are a common finding in children. Although most of these lesions are benign, they can be a severe cosmetic problem and cause structural and functional damage to nearby tissues. As a result, physicians are tasked with developing effective treatment options with superior safety profiles. Vascular anomalies may be divided into tumors and malformations. Vascular tumors, such as infantile hemangiomas, typically appear a few months after birth, whereas the majority of vascular malformations, such as port-wine stains, are present at birth. Although these lesions vary in appearance, etiology, and disease course, many are treated in a similar fashion. In this review, we focus on treatment modalities for some of the more-prevalent childhood vascular lesions, including port-wine stains, primary telangiectasias, infantile hemangiomas, pyogenic granulomas, and angiomas.
血管异常是儿童的常见病症。尽管这些病变大多数是良性的,但它们可能会造成严重的美容问题,并对附近组织造成结构和功能损伤。因此,医生的任务是制定具有卓越安全性的有效治疗方案。血管异常可分为肿瘤和畸形。血管肿瘤,如婴儿血管瘤,通常在出生后几个月出现,而大多数血管畸形,如葡萄酒色斑,在出生时就存在。尽管这些病变在外观、病因和病程上有所不同,但许多病变的治疗方式相似。在这篇综述中,我们重点关注一些更为常见的儿童血管病变的治疗方法,包括葡萄酒色斑、原发性毛细血管扩张症、婴儿血管瘤、化脓性肉芽肿和血管瘤。