口腔医学研究

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (10): 1141-1144.DOI: 10.13701/j.cnki.kqyxyj.2018.10.026

• 口腔颌面外科学研究 • 上一篇    

9例增生型毛细血管畸形的手术治疗

吴丽芬1,2, 赵怡芳1,2, 邹海啸2,3*   

  1. 1. 武汉大学口腔医院口腔颌面头颈肿瘤外科 湖北 武汉 430079;
    2. 口腔基础医学省部共建国家重点实验室培育基地和口腔生物医学教育部重点实验室 湖北 武汉 430079;
    3. 南昌大学第二附属医院口腔科 江西 南昌 330006
  • 收稿日期:2018-03-01 出版日期:2018-10-28 发布日期:2018-10-24
  • 通讯作者: 邹海啸,E-mail:haixiao_zou@hotmail.com
  • 作者简介:吴丽芬(1991~ ),女,广东肇庆人,硕士在读,主要从事口腔颌面部血管瘤与脉管畸形的临床研究工作。
  • 基金资助:
    国家自然科学基金(编号:81502745)

Surgical Treatment of 9 Cases of Hypertrophic Capillary Malformation.

WU Li-fen1,2, ZHAO Yi-fang1,2, ZOU Hai-xiao2,3*.   

  1. 1. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    2. The State Key Laboratory Breeding Base of Basic Science of Stomatology and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China;
    3. Department of Stomatology, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China.
  • Received:2018-03-01 Online:2018-10-28 Published:2018-10-24

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摘要： 目的: 报告9例颌面部增生型毛细血管畸形的手术方法及疗效。方法: 回顾性分析9例病变直径大于7 cm的增生型毛细血管畸形的患者资料,包括年龄、部位、手术方法、术后随访及评价。结果: 本组病例包含女5例,男4例,其中5例就诊年龄在40岁以上,主要累及面中、下份;2例同时累及额部和颈部;5例病变累及下唇,其中2例伴发下唇癌。6例患者接受病变减量术+邻近瓣转移缺损修复术,4例患者的术区实现一期愈合;3例患者接受病变完整切除术+远位皮瓣修复术或植皮术,具体为胸三角皮瓣、前臂皮瓣及全厚皮片各1例。患者术后面容得到明显改善,部分患者的语音和进食功能得到改善。结论: 增生型毛细血管畸形施行手术治疗的患者,面部的形态、功能和生活满意度得到显著的改善。

关键词: 毛细血管畸形, 手术治疗, 颌面部

Abstract: Objective: To investigate the surgical treatment of hypertrophic capillary malformation in the head and neck region. Methods: Nine patients with the length of the hypertrophic capillary malformation bigger than 7cm were included in this study. Patients' demographic and clinical data were analyzed. Results: Of the 9 patients, 5 patients were female, and 5 were older than 40. The lesion mainly involved the middle and inferior part of the head and neck region. Lower lip was involved in 5 cases, 2 were along with squamous cell carcinoma. Partial resection was performed in 6 cases and the defection was reconstructed with local flap. Total resection was performed in 3 cases and the defection was reconstructed with skin grafting, free flap, and pedicle flap. The patient's facial appearance and masticatory function was improved significantly. Conclusion: After patients with proliferative capillary malformations underwent surgical treatment, their facial morphology, function, and life satisfaction were improved significantly.

Key words: Hypertrophic capillary malformations, Surgical treatment, Head and neck region