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目的分析综合治疗口腔颌面部血管瘤的效果。方法统计2007年11月至2009年12月颌面部处患有血管瘤的患者115例,43例采用外科手术,53例采用硬化治疗(29例选用平阳霉素,24例选用鱼肝油酸钠),10例采用激光治疗,9例采用冷冻治疗。对所有患者进行3年的随访记录,比较治愈情况。结果经手术治疗的患者有37例治愈,百分率为86.0%;经硬化治疗的患者有30例治愈,百分率为56.6%(选用平阳霉素62.1%,选用鱼肝油酸钠50%);经激光治疗的患者有3例治愈,百分率为30%;经冷冻治疗的患者有3例治愈,百分率为33.3%。选择其他方式治疗的患者所获得的治愈百分率均较手术治疗患者低,差异显著(P<0.05)。结论综合治疗中以手术方式为主,其他方式为辅。
Objective To analyze the effect of comprehensive treatment of oral and maxillofacial hemangiomas. Methods From November 2007 to December 2009, 115 patients with maxillofacial hemangiomas were enrolled. Forty-three patients underwent surgical operation and 53 patients received sclerotherapy (n = 29, Pingyangmycin, 24 patients) , 10 cases with laser treatment, 9 cases with cryotherapy. All patients were followed up for 3 years to compare the cure. Results 37 cases were cured by surgery, the percentage was 86.0%; 30 cases were cured by sclerotherapy, the percentage was 56.6% (choose Pingyangmycin 62.1%, the choice of sodium cod liver oil 50%); laser treatment Three patients were cured, with a percentage of 30%; three patients were cured by cryotherapy, with a percentage of 33.3%. The percentage of patients who received treatment by other methods was lower than that of patients who underwent surgical treatment (P <0.05). Conclusion The main treatment in the comprehensive surgical treatment, supplemented by other means.