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44例眼睑血管瘤的低剂量X线治疗(作者译)

[Low-dose x-ray treatment of 44 haemangiomas of the lid (author's transl)].

作者信息

Bamberg M, Scherer E

出版信息

Dtsch Med Wochenschr. 1978 Aug 18;103(33):1293-7. doi: 10.1055/s-0028-1129250.

Abstract

An extent knowledge of different haemangioma forms is the prerequisite of any treatment of haemangioma. Only the blastomatous haemangioma, because of its histological substrate, has a marked sensitivity to x-radiation. The tendency towards spontaneous regression among haemangiomas is an important factor which must be taken into consideration in any treatment plan. The blastomatous haemangiomas are most radiation-sensitive during the growth phase. For this reason such treatment should be undertaken in the first two years of life and under quite specific indications. The results of low-dose radiotherapy was assessed five years after the end of treatment on 157 patients with haemangiomas (of these, 44 were of the lid). Very good to satisfactory results had been achieved in 95.5% of blastomatous haemangiomas. Radiotherapy was only little effective in juveniles and adults. These results indicate that radiotherapy is the treatment of choice for blastomatous haemangiomas.

摘要

对不同类型血管瘤的广泛了解是任何血管瘤治疗的前提。只有成胚性血管瘤,因其组织学基础,对X线辐射有明显的敏感性。血管瘤的自然消退倾向是任何治疗方案中都必须考虑的重要因素。成胚性血管瘤在生长阶段对辐射最为敏感。因此,这种治疗应在生命的头两年内进行,且要有非常明确的指征。对157例血管瘤患者(其中44例为眼睑血管瘤)在治疗结束五年后评估低剂量放疗的效果。95.5%的成胚性血管瘤取得了非常好到满意的效果。放疗对青少年和成年人的效果甚微。这些结果表明,放疗是成胚性血管瘤的首选治疗方法。

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