射频消融术治疗舌部静脉畸形

摘要

目的 探讨射频消融术治疗舌部静脉畸形的效果.方法 回顾性分析2013年7月至2014年7月收治的30例舌部静脉畸形的病例资料,从单侧病变到弥漫性广泛病变,其中23例接受了射频消融术,选取直径为0.5 mm的工作尖端的射频消融电极针,功率调至25 W,将工作尖端刺入距病变最底部即最深处约1 mm处,通电行消融工作15 ～30 s,其后依次退出电极针1 mm,直至距病变表面1 mm处,分别行多点消融.结果 15例单侧病变一期手术彻底消融;8例双侧均受累及病例,一期行一侧病变射频消融术,术后3～6个月再行二期射频消融手术,其中5例彻底消融.23例术后随访3个月至1年半,手术消融20例,无复发,且舌两侧对称,无明显瘢痕,外观满意.另外3例仍有部分残余.结论 射频消融术弥补了传统手术的不足,治疗舌静脉畸形基本达到治愈,无明显并发症,且外观良好.%Objective To explore the therapeutic effect of radiofrequency ablation for tongue venous malformation(VM).Methods From July 2013 to July 2014,30 cases with tongue VM (local or diffuse) were retrospectively analyzed.23 cases underwent radiofrequency ablation treatment.The radiofrequency electrode tip(0.5 mm in diameter) was inserted into the lesion I mm below the bottom with 25 W in power and 15-30 s of pulse.The treatment was repeated when the electrode tip was removed back every 1 mm.Multi-point treatment was performed.Results 15 cases with unilateral VM were completely healed after one-stage radiofrequency ablation.8 cases with bilateral VM received two-stage radiofrequency ablation with a 3-6 months of interval.Among the 8 cases,completely healing was achieved in 5 cases,partial VM residue happened in 3 cases due to its diffuse lesion and reservation of tongue function.23 cases were followed up for 3 month to 1.5 years.Good cosmetic and functional results was achieved in 20 cases with no relapse.Partial VM residue was left in 3 cases.Conclusions Radiofrequency ablation can effectively treat tongue VM with minimal morbidity and good cosmetic appearance.It also avoids the disadvantages of surgery.