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目的观察与记录婴幼儿血管瘤自然消退完成的年龄与美容结果。方法回顾研究北京大学口腔医学院口腔颌面外科1986至2004年49例婴幼儿血管瘤的发病年龄、初诊年龄、性别。用照片记录血管瘤的部位与体积,每隔3～12个月随访1次,直到血管瘤完全消退为止。49例中用泼尼松治疗16例,修整手术5例,其余33例未经任何治疗,观察并用照片记录直到自然消退为止。结果49例婴幼儿血管瘤中的33例(67%)完全自然消退,完全消退的年龄最早9个月,最晚10岁,平均5.4岁。消退后不留过多的皮肤、纤维脂肪、瘢痕,无血管扩张,有很好的美容结果。结论除具有严重并发症的婴幼儿血管瘤,例如扩张、破坏、阻塞或充血性心力衰竭时需即刻积极治疗以外,绝大多数患儿(观察随访到5～6岁)可完全消退,获得满意的效果。
Objective To observe and record the age and cosmetic results of the complete regression of infantile hemangiomas. Methods A retrospective study of oral and maxillofacial surgery in Peking University School of Stomatology from 1986 to 2004, 49 cases of infantile hemangioma age of onset, initial diagnosis of age, gender. The site and volume of hemangiomas were recorded with photographs and followed up every 3 to 12 months until hemangioma completely subsided. In 49 cases prednisone was treated in 16 cases, dressing surgery in 5 cases, the remaining 33 cases without any treatment, observed and recorded with photographs until the natural subsided. Results Of the 49 infantile hemangiomas, 33 (67%) completely regressed spontaneously, the earliest complete remission was 9 months and the latest was 10 years old, with an average of 5.4 years. Subsided without leaving too much skin, fiber fat, scar, no vasodilation, have a good cosmetic results. Conclusion The majority of children (up to 5 to 6 years of follow-up) were completely subsided and satisfied, except for aggressive treatment of infantile hemangiomas with severe complications, such as expansion, destruction, obstruction or congestive heart failure Effect.