电针治疗颌面部血管瘤的疗效观察

作者	单位
张伟	中日友好医院电化疗科北京100029
辛育龄	中日友好医院电化疗科北京100029
赵洪昌	中日友好医院电化疗科北京100029

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中文摘要:

目的 :探讨应用电针治疗颌面部海绵状血管瘤 (简称血管瘤 )的临床疗效。方法 :对 4 0 5例血管瘤患者行电针治疗 ,在B超或CT定位和引导下将铂金针插入血管瘤内 ,并用塑料绝缘管保护健康组织。插针的根数视血管瘤大小而定 ,电针之间的距离为 15mm左右。将电针分为阴、阳极连接在电针治疗仪上进行通电治疗 ,常用电压为 5 0～ 7 0V ,电流为 6 0～ 80mA ,电量按血管瘤的直径每 1 0cm给 10 0库仑 (C)左右。治疗中用B超监测到血流消失即表明治疗完成。结果 :完全治愈 (CR) 345例 (85 2 % ) ,部分治愈 (PR) 39例(9 6 % ) ,轻度消退 (MR) 12例 (3 0 % ) ,无变化 (NC) 9例 (2 2 % )。将CR +PR评为有效 ,其有效率为94 8% (384 /4 0 5例 )。结论 :电针治疗颌面口腔部海绵状血管瘤是一种创新技术 ,在临床上取得较高有效率。此外 ,它具有操作简便 ,易于推广 ,创伤小 ,恢复快 ,不留疤痕等优点 ,为攻克颌面、口腔部血管瘤提供了有效方法。

英文摘要:

Objective: To investigate the clinical effect of electro acupuncture (EA) in treating maxillofacial hemangioma (MFH). Methods: The platinum needles (electrode) were inserted into the MFH under location and guidance with B ultrasonography or CT, with the number of needles used according to the size of the MFH to make the distance between needles about 1.5 cm, and the peri lesional health tissue was protected with plastic insulating tube. The electrodes, which were divided as cathode and anode, were linked with the EA apparatus for EA treatment, the often applied voltage was 5.0-7.0V, current 60-80 mA and quantity about 100 coulombs/cm of MFH′s diameter. B ultrasonography was used for monitoring during EA, and the treatment would be finished when B ultrasonography showed disappearance of blood flow. Results: Evaluation according to the WHO′s standard for therapeutic efficacy evaluation of tumor showed that after treatment, 345 patients (85.2%) were completely remitted (CR), 39(9.6%) partially remitted (PR), 12(3.0%) improved pathologically, and 9 (2.2%) ineffective, the effective rate (CR+PR) was 94.8%. Conclusion: EA, as an creative technique for treatment of MFH, has made breakthrough achievement in clinical practice with high efficacy. It also has the superiorities of simple, less injury, quick recovery, with no scar left and easy to be spread, therefore, it provides an effective method for curing MFH.

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