摘要
目的观察放射性核素^32磷敷贴治疗皮肤血管瘤的临床疗效，评价该法与其他方法的差异。方法将放射性核素敷贴器敷于血管瘤表面，利用敷贴器中”磷发射的8射线，对病变部位进行照射治疗，使血管瘤发生萎缩、闭塞。结果本组共300例患者，治疗后随访1—3年。其中，草莓状血管瘤139例，有效率和治愈率分别为100％；鲜红斑痣有效率为80％（48／60），治愈率为55％（33／60）；海绵状血管瘤有效率为38．7％（12／31），治愈率为9．6％（3／31）；混合型血管瘤有效率为35．7％（25／70），治愈率为8．6％（6／70）。约80％患者在治疗后早期出现皮肤色素脱失，随着时间推移，逐渐恢复正常。草莓状血管瘤和鲜红斑痣未见复发；海绵状及混合型血管瘤易复发，但均不会出现功能障碍。结论”磷敷贴治疗表浅性血管瘤（局限性草莓状）效果较好，且不良反应轻，不遗留瘢痕，外观效果好，值得临床推广应用。
Objective To observe the clinical efficacy of 32p application in treatment of skin hemangioma, evaluating the difference with other methods. Methods The radioactive applicator was supplied onto the surface of hemangioma, then 13-ray from 32p in the applicator was used to irradiating the pathological part to make the he- mangioma atrophied and occluded. Results The group of 300 patients were followed up for 1 to 3 years. Among them, the cure rate of capillary hemangioma in 139 cases was almost 100%, and effective rate was almost 100% ; The cure rate of ponceau stain naevus was 80% （48/60）, and effective rate was 55% （33/60） ; the cure rate of cavernous angioma was 38.7% （ 12/31 ）, and effective rate was 9.6% （3/31） ; the cure rate of mixed hemangio- ma was 35.7% （25/70）, and effective rate was 8.6%（6/70）. About 80% patients appeared skin depigmenta- tion in early period after treatment, most of them returned to normal over time. The cases of capillary hemangioma and ponceau stain naevus showed no recurrence. Though cavernous angioma and mixed hemangioma tended to re- cur, showed no functional disorders. Conclusion The treatment effectiveness of superficial hemangiomas （limi- tared strawberry-like） using the 32p Sticking was better with slight side effects, no scars, and well view, which is worthy of wide application.
出处
《中国美容整形外科杂志》
CAS
2012年第1期32-34,共3页
Chinese Journal of Aesthetic and Plastic Surgery
