摘要
目的探讨青少年阴囊静脉血管畸形的治疗方法，评价手术治疗的临床效果。方法回顾性分析2001年1月至2010年12月诊治的32例青少年阴囊静脉血管畸形的病例资料，从单纯性局部病变到弥漫性广泛病变，其中31例术前先行瘤体内局部多点注射40％尿素溶液治疗，每日1次，每次半分钟以内，注射量为2～6ml，连续注射治疗5—12d；然后分一期或二期手术切除瘤体。1例放弃治疗。结果31例中手术根治性切除共28例，25例一期完整切除，3例二期完全切除，术后随访1～3年，无复发，术后阴囊双侧对称，外观满意；3例严重病例进行分期手术，仅行部分切除，术后外观较前改善。结论尿素联合手术切除瘤体的方法，可以有效地治疗青少年阴囊静脉血管畸形，并能满足美容学要求。
Objective To discuss the treatment of the scrota1 vein malformation in teenagers and clinical efficacy. Methods 32 cases with the local and diffuse scrotal vein malformation were retrospectively analyzed. 31 cases underwent local injection with 40% urea before resection. The urea was injected locally into tumor through multi-points within 30 seconds, 2-6 ml every time, one time a day. The injection was performed for 5-12 days. The treatment was refused in one case. The therapeutic effect and cosmetic result were recorded. Results The tumors were removed radiealy in 28 cases including one operation in 25 cases and secondary operation in 3 cases. The patients were followed up for 1-3 years with no recurrence. Cosmetic result with bilaterally symmetric scrotum was satisfactory. The tumors in 3 severe cases were partially reseeted with improvement. Conclusions Combined treatment with urea injection and surgical procedure can effectively treat the serotal vein malformation with satisfactory result.
出处
《中华整形外科杂志》
CAS
CSCD
北大核心
2012年第4期256-260,共5页
Chinese Journal of Plastic Surgery
关键词
青少年
阴囊
静脉畸形
尿素
外科手术
Teenager
Scrotum
Vein malformation
Urea
Surgical procedures, operative
