目的：探讨先天性血管畸形（血管瘤）诊断与治疗的方法。方法：分析３３５例血管瘤的临床表现、体格检查、辅助检查和造影、ＣＴ、ＭＲＩ等及治疗方法如手术、手术结合钢针、铜针、硬化剂、术中缝扎和电凝的应用。结果：本组手术切除１６１例，部分切除８１例，硬化剂注射３２例，铜针治疗１８例，需植皮４７例，皮瓣修复１９例，１期治疗２８４例，分期治疗３５例。达到“治愈”或“缓解”的３１０例。效果差者多为蔓状血管瘤，最终截肢５例，仍有缺血溃疡者５例。３６例出现切口或植皮愈合不佳的并发症。结论：（１）除作出毛细血管瘤、海绵状、蔓状血管瘤等“定性”诊断外应作出血管瘤大致范围、深度、累及重要组织的“定位”诊断或“解剖”诊断，以便指导治疗。（２）血管瘤应及时治疗。方法以手术为主，结合或单用硬化、铜针等或术中加用缝扎、电凝破坏、硬化剂以处理残留病变。 Objective: To explore the method of diagnosis and treatment of congenital vascular malformations (hemangiomas). Methods: The clinical manifestations, physical examinations, auxiliary examinations and radiographs of 335 hemangiomas were analyzed. The application of CT, MRI and other treatment methods such as operation and operation combined with steel needles, copper needles, sclerosing agents, surgical sutures and electrocoagulation were analyzed. Results: In this group, 161 cases were resected, 81 cases were partially resected, 32 cases were cured with sclerotherapy, 18 cases were treated with copper needle, 47 cases were required skin grafting, 19 cases were treated with skin flap, 284 cases were treated by stage 1 and 35 cases were treated by stage. 310 cases of “cured” or “relieved”. Poor results were mostly hemangiomas, the final amputation in 5 cases, there are still 5 cases of ischemic ulcer. Thirty-six patients had complications of poor incision or skin graft healing. Conclusions: (1) In addition to the “qualitative” diagnosis of capillary hemangioma, spongiform and hemangiomas, gross location, depth, and “localization” or “anatomical” diagnosis of important tissues should be made to guide the treatment . (2) hemangioma should be treated promptly. Methods The main operation, combined or single use of sclerosis, copper needles or intraoperative plus suture, coagulation damage, hardening agent to deal with residual disease.