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本文介绍一例7岁,男孩,囊性淋巴管瘤经争光霉素局部注射治愈的病例。肿瘤范围为左侧颊部至颈部约90×60mm大,柔软弥蔓性肿胀,用静电图像所见为多房性。在局麻下切开左颌下剥离至颈阔肌,即可见暗褐色薄膜的囊肿组织,抽出约6.0ml淡黄色透明囊液,随即注入争光霉素3mg(1mg/1ml盐水)缝合创口。口腔内检查无异常。注射后次日肿胀明显,48小时后消退,几乎无痛。8天后以穿刺法抽出囊液15ml,注入争光霉素5mg,反应与前次同。治疗后于20天肿胀(肿瘤)变小65%,2个月后缩小23%,两年后缩小16%,仅留很小的痕迹。注射后三年无任何复发的倾向。
This article describes a case of a 7-year-old, boy, cystic lymphangioma treated with a local injection of bleomycin. The tumor ranged from about 90 x 60 mm from the left cheek to the neck, and the swells of the soft mandible were seen as multiple rooms with electrostatic images. Under local anesthesia, under the left submandibular dissection to the platysma muscle, the cyst tissue of the dark brown film can be seen. About 6.0 ml of pale yellow transparent cyst fluid was extracted, and then injected into the bleomycin 3 mg (1 mg/1 ml saline) sutured wound. No abnormalities in oral examination. The swelling was evident the next day after injection and subsided after 48 hours, with almost no pain. After 8 days, 15 ml of cyst fluid was extracted by puncture and 5 mg of bleomycin was injected. The reaction was the same as the previous time. After treatment, swelling (tumor) decreased by 65% after 20 days, decreased by 23% after 2 months, and decreased by 16% after 2 years, leaving only minor traces. Three years after injection, there was no tendency to relapse.