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題 名 | Management of the Lymphatic Malformations=淋巴管畸形之處置 |
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作 者 | 黃文成; 歐聖運; 蔡永發; 董光義; 蕭弘道; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷 期 | 8:4 1999.12[民88.12] |
頁 次 | 頁272-278 |
分類號 | 415.74 |
關鍵詞 | 淋巴管畸形; 血管畸形; Lymphatic malformation; Frozen section; |
語 文 | 英文(English) |
中文摘要 | 淋巴管畸形是眾多血管畸形中為數較少的一群。這類疾病因表徵與病灶範圍更不易掌握,常見到術後再發的病例。從一九九四年一月到一九九八年十二月,馬偕醫院共有十二例淋巴管畸形病患;其中仍以頭頸部最為常見。我們利用切除及鐳射加以治療,並以植皮或皮瓣重建。經過追蹤統計後發現,共有四例再發,須再次手術或鐳射治療。 淋巴管畸形的治療方式尚無定論,在文獻中可以找到許多治療的方法,包括冷凍治療、電燒、二氧化碳或染料鐳射、外科切除等。Manders等人也曾利用抽脂術破壞皮下組織而成功的治癒。我們建議手術時採用冷凍切片組織病理檢查,其至利用MRI攝影術找出病灶的確切範圍,才能完全而有效地切除病灶,防止再發。若是病灶範圍過大,無法完全切除,或是病患無法接受廣泛性切除手術的併發症時,也許可以考慮利用二氧化碳鐳射治療以舒減局部症狀。 |
英文摘要 | Lymphatic malformations are small groups of vascular malformations. Because the tissue involved is always beyond the skin, recurrence was noted frequently. We report our experience of 12 cases from Jan. 1994 to Dec. 1998. The head and neck region is the most commonly involved area. We excised most of the lesions and reconstructed with skin graft of flaps if needed. CO�烊aser was used to treat some irresectable area for symptomatic relief. There were 4 cases of recurrence and further treatment with CO�烊aser was performed. The definite management of lymphatic malformations is still evolving. The methods commonly used include electrocauterization, cryotherapy, Laser, interstitial radiotherapy, liposuction, injection of sclerosing agents and surgical excision. We suggest intra-operative frozen section examination should be done routinely. MRI is useful to detect the exact lesion involed. Thus, we can excise the lesion completely and reduce recurrent rate effectively. |
本系統中英文摘要資訊取自各篇刊載內容。