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头颈部巨大海绵状血管瘤引起病人头颈部外形的改变,有时明显地影响器官的功能,甚至产生无法控制的致命性出血。作者们认为肿瘤表面出现溃疡对病人是有利的,因为溃疡可以引起纤维化而阻塞血管瘤的血管,从而防止肿瘤进一步生长。据经验,作者们认为约85%头颈部血管瘤有自发性退化,退化开始于出生后6~12个月,一般在4~6岁完成退化过程;若出生后12个月肿瘤加速生长或无明显退化,即可开始积极治疗。治疗方法的选择应根据肿瘤的大小、部位及其侵犯的范围而定:小的或中等大小的海绵状血管瘤,用多次硬化剂局部注射可获得满意效果;这种方法可引起肿瘤纤维化,肿瘤缩小而不再继续生长。中等大的肿瘤有时可用手术治疗。对于
The huge cavernous hemangioma of the head and neck causes changes in the shape of the patient’s head and neck, sometimes affecting the function of the organs significantly and even causing uncontrollable and fatal bleeding. The authors believe that the appearance of ulcers on the surface of the tumor is beneficial to the patient because the ulcer can cause fibrosis and block the blood vessels of the hemangiomas, thereby preventing further tumor growth. According to experience, the authors believe that about 85% of head and neck hemangiomas are spontaneously degraded. Degeneration begins at 6 to 12 months after birth, and is usually completed at the age of 4 to 6 years; if the tumor is accelerated at 12 months after birth, Without significant degradation, active treatment can begin. The choice of treatment method should be based on the size of the tumor, its location and the extent of its invasion: small or medium-sized cavernous hemangioma, with a multiple injection of sclerosing agent to obtain satisfactory results; this method can cause tumor fibrosis The tumor shrinks and no longer grows. Moderately large tumors can sometimes be treated with surgery. for