论文部分内容阅读
目的探讨尿素注射联合手术切除治疗舌部静脉畸形的效果。方法回顾性分析35例舌部静脉畸形的病例资料,行MRI检查显示单侧病变且边界清晰,采用尿素联合手术切除治疗,尿素注射2~5ml,每日1次,7d为1个疗程。尿素治疗结束后2~3d行手术切除。结果 35例患者随访5~24个月,平均随访(21.5±2.0)个月。33例患者一期手术彻底切除,未见复发;2例病例出现复发,术后6~12个月再行二期尿素注射联合手术切除;随访无复发,且舌体活动自如,外观满意。结论手术是治疗静脉畸形的有效方法;术前尿素注射可硬化瘤体,减少术中出血,单侧舌部静脉畸形瘤体边界清晰的患者应考虑尿素瘤内注射联合手术切除。
Objective To investigate the effect of urea injection combined with surgical resection on tongue venous malformation. Methods A retrospective analysis of 35 cases of tongue venous malformations, MRI examination showed unilateral lesions and clear borders, the use of urea combined surgical resection, urea injection 2 ~ 5ml, 1 day, 7d for a course of treatment. Surgical resection was performed 2 to 3 days after the end of urea treatment. Results 35 patients were followed up for 5-24 months with an average follow-up of (21.5 ± 2.0) months. Thirty-three patients underwent radical resection without recurrence. Two patients developed recurrence. Six to 12 months after surgery, they were treated with two-phase urea injection and resection. No recurrence was observed and the tongue was free to move freely. Conclusions Surgery is an effective method to treat venous malformations. Urea injection before operation can harden the tumor and reduce intraoperative bleeding. Patients with unilateral lingual venous malformations with clear border should be treated by intra-urethral injection combined with surgical resection.