血管腫의 治療 = Treatment of Hemangioma

국문 초록 (Abstract)

1976年부터 1978年 9月까지 體驗한 血管腫 45例의 臨床的 考察을 하여 다음과 같은 結果를 얻었다.
1. 性別 頻度는 男子 14例 女子 31例로 女子에 頻發하였다.
2. 頭部 및 頸部에 發生한 血管腫이 25例로 67%를 차지였다.
3. 매장혈관종이 22例로 가장 많았고 포르트와인 血管腫 및 海綿狀血管腫이 各各 10例를 차지하였다.
4. 포르트와인血管腫 10例의 治療로 階段切除術 2例, 稙皮術 5例, 回轉皮層瓣 3例中 回轉皮??瓣을 利用하였던 例에서 가장 좋은 成績을 보여 주었다.
5. 매장혈관종 22例 中 10例에 프래드니소론을 投與 하였던 바 2例에서는 血管腫이 消失되고 6例에서는 退縮現象이 있었으나 2例나에서는 아무 變化가 없었으며 같은 期間 中 投藥을 하지 않고 觀察하였던 7例났에서는 3例만 退縮現象이 나타났다.
6. 海綿狀血管腫 10例中 6例에서 切除手術을 施行하였으나 完全治療된 것은 2例 뿐이였다.

다국어 초록 (Multilingual Abstract)

No matter what kind of methods may be tried for the treatment of an extensive facial heman gioma, the results offer no much improvement and sometimes refer him or her to a beautician for camouflage with cosmetis. Fortunately God gave a 80∼90% chance of spontaneous involution for the strawberry hemangioma by the age of 5 years and strawberry hemangioma is the commonest type of hemangiomas. However, when plastic surgeons confronted with patients with another type of hemgioma or not involuted strawberry hemangioma, they should do something for the patients eventhough they shake their heads sadly after sending the patients. They consider excision and sikin grafting, advancement or rotation flap, serial excision, sclerosing agents, compression methods and irradiation but they hesite to select any method.
Author experienced 45cases of hemagnioma from Jan. 1976 to Sept. 1978 and results were as follows.
1. Of 45 cases, 31 were female and 14 were male.
2. 25 cases had hemangiomas on the head and neck.
3. The commonest type was strawberry hemangioma as 22cases, and portwine and cavernous type had same incidence as 10caese.
4. Of 10cases of portwine hemangioma, serial excision in 2cases, excision and split thickness skin graft in 5cases and advancement or rotation flap in 3cases were performed and flap cases had best results.
5. Of 22 cases of strawberry hemangioma, prednisolone medication was given 10 cases.
6 cases had signs of involution and 2 cases had complete involution but 2 cases had no change. However, 7 observation cases without medication had sign of involution in 3 cases.
6. Operation was done in 6 cases of cavernous hemangioma but complete cxcision was not possible in 4 cases