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目的探讨胶体磷-32酸铬联合平阳霉素注射治疗皮下深部血管瘤的临床价值。方法选取我院41例患儿62个皮下深部血管瘤体实施胶体磷-32酸铬+平阳霉素联合治疗,注射方法是先行血管瘤彩超检查,计算出瘤体体积,注射胶体磷-32酸铬5.55~9.25×10~8Bq(15~25μCi/cm~3),每次总剂量儿童不超过1.85×10~7Bq(0.5 m Ci);平阳霉素150~250μg/cm~3,每次注总量不超过4 mg。结果 41例患儿注射治疗1~3次不等,62个皮下深部血管瘤体平均每个瘤体注射1.58次,治疗时间平均为6个月;随访5年,总有效率为98.4%。所有患者中无一例出现全身或局部严重并发症。结论胶体磷-32酸铬联合平阳霉素治疗婴幼儿皮下深部血管瘤疗效肯定,给予相应宣教也能提高治愈率。
Objective To investigate the clinical value of colloidal phosphorus-32 acid-chromium combined with pingyangmycin in the treatment of subcutaneous deep hemangiomas. Methods Totally 62 subcutaneous deep hemangiomas from 41 children in our hospital were treated with colloidal phosphorus-32 + chromaffin combined with Pingyangmycin. The injection was performed by hematoma color Doppler ultrasonography to calculate the volume of the tumor and the injection of colloidal phosphorus-32 acid Chromium 5.55 ~ 9.25 × 10 ~ 8Bq (15 ~ 25μCi / cm ~ 3) for each total dose of children does not exceed 1.85 × 10 ~ 7Bq (0.5 m Ci); Pingyangmycin 150 ~ 250μg / cm ~ The total amount does not exceed 4 mg. Results 41 cases of children were treated with 1 ~ 3 times of injection. The average of 62 subcutaneous deep hemangiomas was 1.58 times per injection. The average treatment time was 6 months. The follow-up of 5 years showed a total effective rate of 98.4%. None of the patients presented with systemic or local serious complications. Conclusion colloidal phosphorus-32 acid chromium combined with pingyangmycin treatment of infantile subcutaneous deep hemangioma certain effect, given the corresponding missionary can also improve the cure rate.