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头颈部婴幼儿血管瘤治疗实用指南

A practical guide to treatment of infantile hemangiomas of the head and neck.

作者信息

Zheng Jia Wei, Zhang Ling, Zhou Qin, Mai Hua Ming, Wang Yan An, Fan Xin Dong, Qin Zhong Ping, Wang Xv Kai, Zhao Yi Fang

机构信息

Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine No. 639, Zhi Zao Ju Road, Shanghai 200011, China.

出版信息

Int J Clin Exp Med. 2013 Oct 25;6(10):851-60. eCollection 2013.

Abstract

Infantile hemangiomas are the most common benign vascular tumors in infancy and childhood. As hemangioma could regress spontaneously, it generally does not require treatment unless proliferation interferes with normal function or gives rise to risk of serious disfigurement and complications unlikely to resolve without treatment. Various methods for treating infant hemangiomas have been documented, including wait and see policy, laser therapy, drug therapy, sclerotherapy, radiotherapy, surgery and so on, but none of these therapies can be used for all hemangiomas. To obtain the best treatment outcomes, the treatment protocol should be individualized and comprehensive as well as sequential. Based on published literature and clinical experiences, we established a treatment guideline in order to provide criteria for the management of head and neck hemangiomas. This protocol will be renewed and updated to include and reflect any cutting-edge medical knowledge, and provide the newest treatment modalities which will benefit our patients.

摘要

婴儿血管瘤是婴幼儿期最常见的良性血管肿瘤。由于血管瘤可自发消退,一般无需治疗,除非其增殖干扰正常功能或导致严重毁容风险以及若不治疗不太可能自行缓解的并发症。已有多种治疗婴儿血管瘤的方法被记录,包括观察等待策略、激光治疗、药物治疗、硬化治疗、放射治疗、手术等,但这些疗法均不能适用于所有血管瘤。为获得最佳治疗效果,治疗方案应个体化、全面且具有连贯性。基于已发表的文献和临床经验,我们制定了一项治疗指南,以便为头颈部血管瘤的管理提供标准。该方案将不断更新,纳入并反映任何前沿医学知识,提供能使我们的患者受益的最新治疗方式。

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