CAJ | 학술논문

目的探讨高频电凝术治疗非退化先天性血管瘤的临床效果.方法 2011年1月至2013年6月,收治16例非退化先天性血管瘤患儿,分别经彩色超声定位后,界定瘤体范围及深度,行高频电凝术治疗,将高频电凝仪连接尖端放电的专用探针,调整输出功率为10 ～20 W,将探针自瘤体周边或表面插入,通电约1～2s后,调整方向和位置直至整个瘤体.术后肿块吸收时间为3 ～6个月,复诊时观察疗效.结果 16例患者经治疗后血管瘤均出现肿块萎缩,瘤体局部温度降低,超声下异常血流信号减少,肿块全部或者部分萎缩吸收.16例中疗效达到Ⅱ级者2例,Ⅲ级9例,Ⅳ级5例.其中1例因术后护理不当致局部感染,经对症处理后溃疡愈合,所有病例均未发生其他严重不良反应.结论高频电凝术可有效地凝固非退化先天性血管瘤瘤体内异常血管,破坏血管内皮细胞,阻断异常血流,致瘤体萎缩机化吸收,术后无明显瘢痕遗留.
목적 탐토고빈전응술치료비퇴화선천성혈관류적림상효과.방법 2011년1월지2013년6월,수치16례비퇴화선천성혈관류환인,분별경채색초성정위후,계정류체범위급심도,행고빈전응술치료,장고빈전응의련접첨단방전적전용탐침,조정수출공솔위10 ～20 W,장탐침자류체주변혹표면삽입,통전약1～2s후,조정방향화위치직지정개류체.술후종괴흡수시간위3 ～6개월,복진시관찰료효.결과 16례환자경치료후혈관류균출현종괴위축,류체국부온도강저,초성하이상혈류신호감소,종괴전부혹자부분위축흡수.16례중료효체도Ⅱ급자2례,Ⅲ급9례,Ⅳ급5례.기중1례인술후호리불당치국부감염,경대증처리후궤양유합,소유병례균미발생기타엄중불량반응.결론 고빈전응술가유효지응고비퇴화선천성혈관류류체내이상혈관,파배혈관내피세포,조단이상혈류,치류체위축궤화흡수,술후무명현반흔유류.
Objective To investigate the clinical efficiency of electrocoagulation for the treatment of noninvoluting congenital hemangioma.Methods Sixteen infants with noninvoluting congenital hemangioma who were admitted to our hospital from January 2011 to June 2013 were included in this study.Color Doppler ultrasound was used to determine the hemangioma location, as well as its size and depth.High frequency electrocoagulation was adopted for the treatment.The output power was set at 10-20 W.The probes were inserted around the tumor or at the surface of the tumor.After switching on for 1-2 seconds, the direction and position of the probe was modulated until covering the whole tumor.After the treatment, the absorption of tumor was about 3-6 months.The efficiency was evaluated during the follow up.Results Tumor atrophy was obvious after treatment in all patients.The temperature around the tumor mass was decreased, and the aberrant blood signals were decreased under the ultrasonic examination.Complete or partial atrophy were observed.The efficiency was graded as level Ⅰ , Ⅱ , Ⅲ, Ⅳ in 0, 2, 9and 5 patients, respectively.One patient showed local infection due to improper nursing, which was completely relieved after corresponding treatment.No severe adverse events were observed.Conclusions High-frequency electrocoagulation is effective for treating noninvoluting congenital hemangioma through coagulating the aberrant blood vessels in the tumor, interrupting the vascular endothelial cell, blocking the aberrant blood flow, as well as leading to atrophy and absorption of tumor mass.Besides, no obvious scar is observed after the surgery.