CAJ | 학술논문

目的：通过总结诊治婴幼儿血管瘤的各种方法，探讨适合婴幼儿血管瘤的个性化治疗方案，为临床医师专科性治疗血管瘤提供帮助。方法1.选择个性化治疗方案原则：能无创不选有创、能局部不选全身、能简单不选复杂。2.治疗方案：⑴根据彩超结果将瘤体分为浅表型、包块型。⑵参考瘤体的部位、大小、分期（增殖期、消退期）、以及经治医师的治疗经验、对治疗方案掌握的熟练程度、患儿家长的期望值和意愿、患儿的身体状况，综合考虑制定方案。结果我院整形外科2003年-2013年采用各种方法共治疗婴幼儿血管瘤患儿2995例，其中激光治疗815例，手术治疗1550例，药物注射600例，口服普萘洛尔30例，联合治疗15例，总治愈率为94.5%，取得良好疗效。结论不同部位、不同大小、不同时期，不同临床表现的血管瘤应采取个性化的治疗方案，尽早诊断、合理干预、抑制增长、促进消退，最好消灭在萌芽状态。
목적：통과총결진치영유인혈관류적각충방법，탐토괄합영유인혈관류적개성화치료방안，위림상의사전과성치료혈관류제공방조。방법1.선택개성화치료방안원칙：능무창불선유창、능국부불선전신、능간단불선복잡。2.치료방안：⑴근거채초결과장류체분위천표형、포괴형。⑵삼고류체적부위、대소、분기（증식기、소퇴기）、이급경치의사적치료경험、대치료방안장악적숙련정도、환인가장적기망치화의원、환인적신체상황，종합고필제정방안。결과아원정형외과2003년-2013년채용각충방법공치료영유인혈관류환인2995례，기중격광치료815례，수술치료1550례，약물주사600례，구복보내락이30례，연합치료15례，총치유솔위94.5%，취득량호료효。결론불동부위、불동대소、불동시기，불동림상표현적혈관류응채취개성화적치료방안，진조진단、합리간예、억제증장、촉진소퇴，최호소멸재맹아상태。
Objective Through summarizing the various methods of treatment of infantile hemangioma and discussing the indi-vidualized treatment for infantile hemangioma,to provide assistance to Clinicians for the Specialist treatment of hemangioma. Methods 1.The selection principle of individualized treatment plan:Noninvasive,partly and easily are the first choice. 2.The method of developing programs:⑴According to the result of ultrasound,tumors can be divided into superficial,bag piece.⑵Refer-ence to the tumor's site,size,stage (breeding period,fading period),and by the attending doctor's treatment experience,to master the proficiency of treatment,the expectations and will of parents,the patient's physical condition,make plan comprehensive con-sideration. Results Choose 2995 infantile hemangioma patients,who were treated in our Department from 2003 to 2013,including 815 patients of laser treatment,1550 patients of operative treatment,600 patients of drug injection,30 patients of oral propranolol, 15 patients of combined treatment. The total cure rate was 94.5% and achieved good curative effect. Conclusion Different parts, sizes,times and clinical manifestations of hemangioma should be taken individualized treatment plan,early diagnosis and proper intervention,inhibit growth,promote subsided,the best is nipped in the bud.