声门下血管瘤
Subglottic haemangioma.
作者信息
Sherrington C A, Sim D K, Freezer N J, Robertson C F
机构信息
Department of Thoracic Medicine, Royal Children's Hospital, Parkville, Victoria, Australia.
出版信息
Arch Dis Child. 1997 May;76(5):458-9. doi: 10.1136/adc.76.5.458.
OBJECTIVES
To describe experience with subglottic haemangioma in a unit where conservative treatment has been favoured.
METHODS
Retrospective case note review of infants presenting with subglottic haemangioma over a 25 year period.
RESULTS
Thirty one infants were identified. Diagnosis was difficult where skin haemangiomas were absent and where the lesion was circumferential rather than asymmetrical. Tracheostomy was safe, well tolerated, and managed by the patients' family at home. Major complications were seen only when laser treatment was used.
CONCLUSIONS
Aggressive treatment with substantial risks of long term complications may not be necessary in this spontaneously resolving disorder.
目的
描述在一个倾向于保守治疗的科室中声门下血管瘤的治疗经验。
方法
对25年间出现声门下血管瘤的婴儿进行回顾性病例记录审查。
结果
共确定了31例婴儿。在没有皮肤血管瘤且病变为环状而非不对称的情况下，诊断困难。气管造口术是安全的，耐受性良好，可由患者家属在家中进行管理。仅在使用激光治疗时出现了严重并发症。
结论
对于这种可自行消退的疾病，可能无需进行有长期并发症重大风险的积极治疗。
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