口底脉管畸形27例回顾性分析

doi:10.13701/j.cnki.kqyxyj.2020.02.013

口腔医学研究 ›› 2020, Vol. 36 ›› Issue (2): 143-147.DOI: 10.13701/j.cnki.kqyxyj.2020.02.013

口底脉管畸形27例回顾性分析

缪帆, 贾俊^*, 赵怡芳

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,武汉大学口腔医学院口腔颌面外科,武汉大学口腔医院口腔颌面肿瘤科湖北武汉 430079

收稿日期:2019-04-04 出版日期:2020-02-28 发布日期:2020-04-24
通讯作者: 贾俊,E-mail: junjia@ whu. edu. cn
作者简介:缪帆(1993~ ),男,四川人,硕士在读,研究方向:颌面部肿瘤。
基金资助:
国家自然科学基金(编号:81870783)

A Clinical Analysis of 27 Cases of Vascular Malformations in the Floor of Mouth

MIAO Fan, JIA Jun^*, ZHAO Yifang

The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, Department of Oral and Head & Neck Oncology, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China

Received:2019-04-04 Online:2020-02-28 Published:2020-04-24

摘要/Abstract

摘要： 目的:为口底脉管畸形的诊断及治疗提供参考。方法:回顾分析我院2007年12月~2017年12月共27例口底脉管畸形患者临床资料,归纳其临床特点及治疗方式。结果:口底脉管畸形患者女性较多,4岁及以下患者占半数,病变首诊的时间集中在出生及出生后数月内;主要症状为舌下病变逐渐增大;病变类型以静脉畸形和淋巴管畸形最多,且多为单发;初诊时易误诊为唾液腺肿瘤及囊肿;治疗方式以硬化治疗和手术为主,部分患者需行预防性气管切开术。结论:口底脉管畸形多见于儿童,部分病例在临床诊断上存在一定困难,常需结合辅助检查进一步确诊;治疗方式以硬化治疗及手术为主。

关键词: 脉管畸形, 口底区, 临床特点, 治疗方式

Abstract: Objective: To provide a reference for the diagnosis and treatment of vascular malformations in the floor of mouth. Methods: A retrospective study was performed on vascular malformations in the floor of mouth by assessing the clinical data of 27 patients. Results: There were more women than men in the patients, half of whom were aged 4 years or younger. Mostly, the lesions occurred at birth or within a few months after birth, with the main symptom was progressive growth. Venous malformations and lymphatic malformations were the most common types, majority of which were presented as single lesion, and sometimes they were misdiagnosed as tumors or cysts of salivary glands in the floor of mouth. The treatments, in our study, were primarily sclerotherapy and surgical excision. Some patients underwent a preventive tracheotomy. Conclusion: Vascular malformations in the floor of mouth occurred mainly in children. Auxiliary examination would be necessary to achieve an accurate diagnosis in some cases. The treatments were principally sclerotherapy and surgical excision.

Key words: vascular malformations, the floor of the mouth, clinical features, treatment

缪帆, 贾俊, 赵怡芳. 口底脉管畸形27例回顾性分析[J]. 口腔医学研究, 2020, 36(2): 143-147.

MIAO Fan, JIA Jun, ZHAO Yifang. A Clinical Analysis of 27 Cases of Vascular Malformations in the Floor of Mouth[J]. Journal of Oral Science Research, 2020, 36(2): 143-147.

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口底脉管畸形27例回顾性分析

A Clinical Analysis of 27 Cases of Vascular Malformations in the Floor of Mouth

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