CAJ | 학술논문

目的：观察褥式环扎联合电化学及平阳霉素注射治疗颌面部大范围静脉畸形的临床疗效。方法：回顾2007-01-2012-12期间，采用褥式环扎联合电化学及平阳霉素注射治疗的23例颌面部大范围静脉畸形患者的临床资料，分析其临床治疗效果及不良反应发生情况，根据疗效评价标准，将治疗结果分为治愈、显效、无效。结果：全组随访6个月~3年，有效率100%，临床治愈率78.3%(18/23)。术后不良反应主要是肿胀、疼痛、发热等，未见严重不良反应。结论：褥式环扎联合电化学及平阳霉素注射治疗颌面部大范围静脉畸形具有创伤小、无瘢痕、安全可靠等优点，外形和功能恢复良好，是一种有效的治疗方法。
목적：관찰욕식배찰연합전화학급평양매소주사치료합면부대범위정맥기형적림상료효。방법：회고2007-01-2012-12기간，채용욕식배찰연합전화학급평양매소주사치료적23례합면부대범위정맥기형환자적림상자료，분석기림상치료효과급불량반응발생정황，근거료효평개표준，장치료결과분위치유、현효、무효。결과：전조수방6개월~3년，유효솔100%，림상치유솔78.3%(18/23)。술후불량반응주요시종창、동통、발열등，미견엄중불량반응。결론：욕식배찰연합전화학급평양매소주사치료합면부대범위정맥기형구유창상소、무반흔、안전가고등우점，외형화공능회복량호，시일충유효적치료방법。
Objective: The aim of this study was to review the efficacy of mattress cerclage method combined with electrochemical therapy and pingyangmycin injection for treatment of large venous malformations in maxillofacial regions. Methods: From January 2007 to December 2012, a total of 23 cases of large venous malformations were treated by this method. The clinical efficacy level of the treatment was divided into cured, improved and invalid. Results:The follow-up time ranged from 6 months to 3 years. The clinical efficiency rate was 100% with a clinical curative rate of 78.3%. The most common complications were regional swelling, facial pain, and fever. No serious adverse effects occurred. Conclusion:Mattress cerclage method combined with electrochemical therapy and pingyangmycin intralesional injection is a reliable,minimally invasive treatment for maxillofacial venous malformations. Functions of chewing, deglutition, respiration, and speech are not disturbed.