CAJ | 학술논문

目的：观察耳郭巨大血管瘤手术治疗的疗效。方法回顾性观察2005年至2011年收治的18例耳郭巨大血管瘤患者手术治疗后的疗效。结果18例患者均治愈，重建耳郭成活，13例患者耳后区血管瘤一次治愈，耳前区血管瘤经多次平阳霉素注射或微波凝灼，基本治愈。术后6个月至1年有5例患者局部复发出现约米粒大小的数个小血管瘤，采用微波热灼治疗，追访1年未见局部复发。结论耳郭血管瘤的治疗手段众多，应依据血管瘤大小、发病部位、以及侵犯的范围选择合理的治疗方案，以最大限度去除血管瘤，保留耳郭形态。
목적：관찰이곽거대혈관류수술치료적료효。방법회고성관찰2005년지2011년수치적18례이곽거대혈관류환자수술치료후적료효。결과18례환자균치유，중건이곽성활，13례환자이후구혈관류일차치유，이전구혈관류경다차평양매소주사혹미파응작，기본치유。술후6개월지1년유5례환자국부복발출현약미립대소적수개소혈관류，채용미파열작치료，추방1년미견국부복발。결론이곽혈관류적치료수단음다，응의거혈관류대소、발병부위、이급침범적범위선택합리적치료방안，이최대한도거제혈관류，보류이곽형태。
Objective To observe the clinical effect of operative treatment in the patients with giant auricle he-mangioma .Methods The curative effect of 18 cases of giant auricle hemangioma treated by operation in this hospital during 2005-2011 were retrospectively observed .Results 18 cases all were cured with survival reconstructed auri-cles .Among 13 cases ,hemangioma in postauricular region was cured by once operation and hemangioma in preauricu-lar region was basically cured by repeated injection of pingyangmycin or the microwave coagulation therapy .5 cases had the local recurrence of some small hemangioma in postoperative 6-12 months ,and were treated by the microwave therapy ,and the local recurrence was not found after 12-month follow up .Conclusion There are multiformity thera-peutic measures on giant auricle hemangioma .The rational therapy scheme should be chosen according to the heman-gioma size ,lesion site and invasive range to remove hemangioma to largest extent and reserve auricle shape .