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目的探讨阴茎头血管畸形的治疗方法。方法本组病例共8例,年龄1 8~25岁,阴茎头直径为1.5~2.0cm不等的蓝紫色蚯蚓状囊性新生物,突出皮肤约0.5~0.8cm。治疗方法:平阳霉素2.0mg+生理盐水适量(视瘤体大小而定),瘤内注射,一个月一次,平均注射3次。注射至瘤体变平后,用长脉宽Nd:YAG激光,能量85~98J/cm~2,脉宽2~12ms,光斑直径6mm,9mm,平均激光治疗次数2.5次。结果 6例治愈,2例显效。结论平阳霉素局部注射联合激光治疗阴茎头血管畸形不会形成阴茎头局部形态改变,无瘢痕及色素改变,疗效确切。
Objective To investigate the treatment of penis head vascular malformations. Methods A total of 8 cases of this group of patients, aged 18 to 25 years old, penis head diameter of 1.5 ~ 2.0cm unequal blue-purple worm-like cystic neoplasms, highlight the skin about 0.5 ~ 0.8cm. Treatment: Pingyangmycin 2.0mg + saline amount (depending on tumor size), intratumoral injection, once a month, the average injection of 3 times. After injection to the tumor flatten, with long pulse width Nd: YAG laser, energy 85 ~ 98J / cm ~ 2, pulse width 2 ~ 12ms, spot diameter 6mm, 9mm, the average number of laser treatment 2.5 times. Results 6 cases were cured, 2 cases markedly. Conclusion Pingyangmycin injection combined with laser treatment of penis head vascular malformations will not form the morphological changes of the penis head, no scar and pigment changes, the exact effect.