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1、口腔颌而部淋巴管畸形110例临床分析作者:克热木・阿巴司,居来提・吐尔逊单位:新疆医科大学第一附属医院口腔颌面外科,新疆乌鲁木齐830011)国家口然科学基金(30860317)【摘要】目的探讨口腔颌面部淋巴管畸形的临床特征与治疗方法,为临床积累经验,提高治疗效果。方法冋顾性分析新疆医科大学第一附属傑院口腔颌而外科2003年1月~2007年12月收治的110例口腔颌而部淋巴管畸形患者的临床资料。结果口腔颌而部淋巴管畸形共110例,男女性别之比为1.34:lo发病年龄<l岁者为64例,占58.18%,<2岁者为76例,占69.09%o发牛的部位依次为舌部(40.00%)、唇颊
2、部(18.18%)、颈部(12.73%)及下颌下区、腮腺区。组织分型为微囊型72例,大囊型38例。手术治疗84例,占76.36%,平阳密素局部注射13例,占11.82%,20%高渗盐水局部注射8例,占7.27%,手术+平阳密索局部注射5例,占4.55%0结论口腔颌而部淋巴管畸形中,男性多于女性,小儿多见,好发部位依次为舌、唇颊部、颈部等。组织学分型以微囊型多见,人囊型相对少。手术切除、平阳霉索局部注射是治疗口腔颌面部淋巴管畸形的理想和有效手段。【关键词]口腔颌而部淋巴管畸形;临床资料;冋顾性分析Clinicaldataoforalandmaxillofaciallymphaticmal
3、formations(reportof110cases)Keremu·Abasi,Julaiti·Tuersun,Adili·imoming(DepartmentofOralandMaxillofacialSurgery,FirstAffiliatedHospital,XinjiangMedicalUniversity,Urumqi830011,China)Abstract:ObjectiveToexploretheclinicalfeatureandtreatmentwaysoforalandmaxillofaciallymphaticmalf
4、ormation.MethodsTheclinicaldataof110patientswithoralandnicixillofaciallymphaticmalformationtreatedfromDecember2002toDecember2007indepartmentoforalandmaxillofacialsurgery.TheFirstAffiliatedhospitalofXinjiangMedicalUniversity,wasretrospectivelyanalyzed.ResultsAmong110cases,theratioofmaletofemalewa
5、s1:0.74.Oralmaxillofaciallymphaticmalformationoccurredmoreofteninchildrenunder2yearsold.Themostcommonlocationsofmaxillofaciallymphaticmalformationweretongue(40.00%),labialandbuccaldivision(19.18%),neckregion(12.73%),submaxillaryregion,parotidregionetc.Therewere110casewithpathologicdiagnosis,incl
6、uding70casesofmicrocapsuletype.84cases(76.36%)wereoperated,13cases(II.82%)wereinjectedPingyangmycin,8cases(7.27%)werethroughinjecting20%Sodium.5cases(4.55%)werecuredthroughsurgeryandPingyangmycin.ConclusionTheoralandmaxillofacialmaxillofaciallymphaticmalformationarecommoninchildphaseandmalewasmo
7、rethanfemale.Themostcommonlocationsoforalandmaxillofaciallymphaticmalformationweretongue,labialandbuccaldivision,neckregion,submaxillaryregionetc.SurgicaltherapyandPingyangmycinarethemainwaytotreatoralandmaxillofaciallymphat