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咽部血管瘤20例,男15例,女5例;15~70岁,病程1~20年。瘤体最小0.5cm×0.5cm,最大3.0cm×3.0cm,3例曾用硬化剂局部注射治疗,疗效欠佳。我们用湖北省孝感产 JLG—100型 Nd:YAG激光光纤手术器治疗,激光波长1.06μm,功率0~100W,光束直经0.6mm,以1%丁卡因溶液行咽部粘膜表面麻醉,用2%盐酸利多卡因溶液行瘤体局部浸润麻醉,肌注阿托品及鲁米那钠,持光纤对准瘤体,每次照射0.5~1s,间隔0.5s,直接照射在血管瘤表面,点间相距约1cm,每次照射约4个点,以瘤体表面变白为度,继而可见瘤体收缩,切勿击穿瘤体以防大出血,每次治疗相隔一般为2周。以瘤体完全消失,
Throat hemangioma in 20 cases, 15 males and 5 females; 15 to 70 years of age, duration of 1 to 20 years. The smallest tumor 0.5cm × 0.5cm, the largest 3.0cm × 3.0cm, 3 cases had sclerotherapy local injection, poor efficacy. We use Xiaogan, Hubei Province produced JLG-100 Nd: YAG laser fiber laser treatment, the laser wavelength 1.06μm, power 0 ~ 100W, the beam straight through 0.6mm, 1% tetracaine solution to the pharynx mucosal surface anesthesia with 2% lidocaine hydrochloride solution for local tumor infiltration anesthesia, intramuscular injection of atropine and luminal sodium, fiber-optic alignment of the tumor, each irradiation 0.5 ~ 1s, 0.5s intervals, direct exposure to the surface of hemangiomas, between points About 1cm apart, each irradiation of about 4 points to the surface of the tumor whitening degree, and then visible contraction of the tumor, do not break through the body to prevent bleeding, each treatment is generally 2 weeks apart. Complete disappearance of the tumor,