Manning Scott C, Perkins Jonathan
Division Pediatric Otolaryngology-Seattle Children's Hospital, Seattle, Washington, USA.
Curr Opin Otolaryngol Head Neck Surg. 2013 Dec;21(6):571-5. doi: 10.1097/MOO.0000000000000007.
To update current knowledge of basic science and clinical care of lymphatic malformations.
Advances in gene sequencing methods have allowed further elucidation of the genetic pathways involved in vascular development. New cell culture techniques are promising the development of practical models to test novel therapeutic interventions. Clinical treatment trends are continuing to shift more away from early surgery and toward sclerotherapy in appropriate cases. New emphasis has been placed upon quality of life analysis of treatment outcomes.
Basic science is increasing the understanding of vascular anomalies in general and may lead us soon toward more effective nonsurgical therapies. Focus on quality of life measures will help to elucidate the most effective therapeutic interventions.
更新关于淋巴管畸形基础科学和临床护理的当前知识。
基因测序方法的进展使人们能够进一步阐明血管发育所涉及的遗传途径。新的细胞培养技术有望开发出实用模型以测试新型治疗干预措施。临床治疗趋势正继续更多地从早期手术转向在适当病例中采用硬化治疗。对治疗结果的生活质量分析有了新的重视。
基础科学正在增进对一般血管异常的理解,并可能很快引领我们走向更有效的非手术治疗。关注生活质量指标将有助于阐明最有效的治疗干预措施。