【射频消融联合聚月桂醇治疗婴幼儿腮腺血管瘤的临床研究】。

中华整形外科杂志 Pub Date : 2016-07-01
Tao Han, Haini Chen, Jijun Zou, Yi Ji, Jianbing Chen, Weimin Shen, Jie Cui
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引用次数: 0

摘要

目的:探讨射频消融术联合月桂醇治疗婴幼儿腮腺血管瘤的临床疗效。方法:选取2005年9月~ 2014年12月117例腮腺血管瘤患者分为观察组(n =32)、对照组1 (n =30)、对照组2 (n =28)和对照组3 (n =27)。观察组患者采用RFA联合月桂醇治疗,对照组1只给予RFA治疗,对照组2只给予平阳霉素治疗,对照组3在RFA治疗的基础上加用平阳霉素治疗。随访6 ~ 24个月,观察四组患者的临床疗效。结果:对照组1:16例患者治愈(53.3%),治疗≥2次的患者9例。皮肤溃疡1例,腹部不适1例,肝功能损害1例,高热1例。对照组2例,治愈17例(60.7%),≥2次治疗12例。皮肤溃疡3例,腹部不适9例,肝功能损害6例,高热5例。对照组3:21例患者治愈(77.8%),≥2次治疗患者2例。皮肤溃疡2例,腹部不适6例,肝功能损害4例,高热4例。观察组治愈25例(78.1%),≥2次治疗4例,与对照组1、对照组2比较,差异有统计学意义(P <0.05)。观察组与对照组2、对照组3术后不良反应(皮肤溃疡2例、腹部不适1例、肝功能损害1例、高热6例)差异均有统计学意义(P < 0.05)。结论:RFA联合月桂醇治疗腮腺血管瘤疗效好,不良反应相对较低,值得在临床推广应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Clinical study of radiofrequency ablation combined with lauromacrogol for the treatment of parotid gland hemangioma in infants].

Objective: To investigate the clinical effect of radiofrequency ablation (RFA) combined with lauromacrogol for the treatment of parotid gland hemangioma in infants.

Methods: From Sep.2005 to Dec.2014,a total of 117 patients with parotid gland hemangioma were divided into observation group (n =32),control group 1 (n =30),control group 2 (n =28) and control group 3 (n =27).The observation group was treated by RFA combined with lauromacrogol, while the control group 1 was treated by RFA only, the control group 2 was treated by pingyangmycin only, and the control group 3 received additional pingyangmycin based on RFA. All the patients were followed up for 6 to 24 months, and the clinical effects were observed in four groups.

Results: Control group 1:16 patients were cured (53.3%),and the number of patients with ≥2 treatments was 9.There was 1 case with skin ulceration,1 with abdominal discomfort,1 with liver function damage and 1 with high fever.Control group 2:17 patients were cured(60.7%),and number of patients with ≥2 treatments was 12.There were 3 cases with skin ulceration,9 with abdominal discomfort,6 with liver function damage and 5 with high fever.Control group 3:21 patients were cured(77.8%),and number of patients with ≥2 treatments was 2.There were 2 cases with skin ulceration,6 with abdominal discomfort,4 with liver function damage and 4 with high fever.However,in observation group,25 patients were cured(78.1%) and number of patients with ≥ 2 treatments was 4,which were significantly different from that in control group 1 or control group 2 (P <0.05).And the difference in postoperative adverse reactions between observation group and control group 2 or control group 3 was also of significance (2 with skin ulceration,1 with abdominal discomfort,1 with liver function damage and 6 with high fever,P < 0.05).

Conclusions: Combined RFA and lauromacrogol has a good therapeutic effect on parotid gland hemangioma with relatively low adverse effect, so it deserves to be suggested and applied in clinical practice.

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