中华整形外科杂志
中華整形外科雜誌
중화정형외과잡지
CHINESE JOURNAL OF PLASTIC SURGERY
2009年
3期
189-192
,共4页
金云波%林晓曦%马刚%陈辉%李伟%范新东%林梅绥%王维%周兆平%王炜
金雲波%林曉晞%馬剛%陳輝%李偉%範新東%林梅綏%王維%週兆平%王煒
금운파%림효희%마강%진휘%리위%범신동%림매수%왕유%주조평%왕위
血管瘤,先天性%计算机断层扫描血管造影%磁共振成像
血管瘤,先天性%計算機斷層掃描血管造影%磁共振成像
혈관류,선천성%계산궤단층소묘혈관조영%자공진성상
Hemangioma,congenital%Computed tomngraphy angiography%Magnetic resonanceimaging
目的 研究一种特殊的婴幼儿血管肿瘤的病史、临床表现、影像学和组织病理学特征及其治疗.方法 回顾分析了2004年7月至2008年7月在我科被诊断为不消退型先天性血管瘤的12例患者(女性5例,男性7例,年龄18个月～26岁)的临床资料、影像学和组织学特征及治疗情况.结果 病灶通常是单发性,呈圆形或椭圆形,平坦或高出皮面,平均大小约5 cm×6 cm.表面皮肤通常有较粗的毛细血管扩张,中央或边缘发白,皮温较高.MBI、计算机断层扫描血管造影和数字减影血管造影影像学特征和普通婴幼儿血管瘤相似.组织病理学检查表现为结节状聚集的小的薄壁的血管和较大的通常呈星状的中央静脉,小叶内血管壁衬以"钉头样"内皮细胞,有时可见小动脉和结节内血管或结节外静脉直接交通.病灶可轻易切除,随访未见复发.结论 不消退型先天性血管瘤是一种特殊的婴幼儿血管肿瘤,认识该类疾病将有利于防止误诊误治的发生.
目的 研究一種特殊的嬰幼兒血管腫瘤的病史、臨床錶現、影像學和組織病理學特徵及其治療.方法 迴顧分析瞭2004年7月至2008年7月在我科被診斷為不消退型先天性血管瘤的12例患者(女性5例,男性7例,年齡18箇月～26歲)的臨床資料、影像學和組織學特徵及治療情況.結果 病竈通常是單髮性,呈圓形或橢圓形,平坦或高齣皮麵,平均大小約5 cm×6 cm.錶麵皮膚通常有較粗的毛細血管擴張,中央或邊緣髮白,皮溫較高.MBI、計算機斷層掃描血管造影和數字減影血管造影影像學特徵和普通嬰幼兒血管瘤相似.組織病理學檢查錶現為結節狀聚集的小的薄壁的血管和較大的通常呈星狀的中央靜脈,小葉內血管壁襯以"釘頭樣"內皮細胞,有時可見小動脈和結節內血管或結節外靜脈直接交通.病竈可輕易切除,隨訪未見複髮.結論 不消退型先天性血管瘤是一種特殊的嬰幼兒血管腫瘤,認識該類疾病將有利于防止誤診誤治的髮生.
목적 연구일충특수적영유인혈관종류적병사、림상표현、영상학화조직병이학특정급기치료.방법 회고분석료2004년7월지2008년7월재아과피진단위불소퇴형선천성혈관류적12례환자(녀성5례,남성7례,년령18개월～26세)적림상자료、영상학화조직학특정급치료정황.결과 병조통상시단발성,정원형혹타원형,평탄혹고출피면,평균대소약5 cm×6 cm.표면피부통상유교조적모세혈관확장,중앙혹변연발백,피온교고.MBI、계산궤단층소묘혈관조영화수자감영혈관조영영상학특정화보통영유인혈관류상사.조직병이학검사표현위결절상취집적소적박벽적혈관화교대적통상정성상적중앙정맥,소협내혈관벽츤이"정두양"내피세포,유시가견소동맥화결절내혈관혹결절외정맥직접교통.병조가경역절제,수방미견복발.결론 불소퇴형선천성혈관류시일충특수적영유인혈관종류,인식해류질병장유리우방지오진오치적발생.
Objective To study the history, clinical symptoms, imaging and histology of a rare distinct infantile hemangioma. Methods 12 patients (5 female, 7 male; aged 18 months ～ 26 years) diagnosed as non-involuting congenital hemangioma were retrospectively analyzed. The history, imaging, histologic examination and the treatment were collected. Results Most of the patients had only one lesion which was round or ovoid, flat or plaque-like. The average size was about 5 cm × 6 cm. The overlying skin was usually had coarse te]angiectasia with central or peripheral pallor. The skin has a high skin temperature. Magnetic resonance imaging, computed tornography angiography and digital subtraction angiography findings were similar to those of common infantile hemangioma. Histologic examination revealed lobular collections of small, thin-walled vessels with a large, often stellate, central vessel. "Hobnailed" endothelial cells lined along the intralobalar vessels. Small arteries were observed "shunting" directly into labnlar vessels or into abnormal extralobular veins. All lesions were easily excised without recurrence. Conclusions Nan-involuting congenital bemangioma is a distinct infantile vascular tumor. It should be diagnose early and treated appropriately.
