小儿颈部巨大囊状淋巴管瘤的手术治疗

摘要

Objective To discuss the radical treatment of cervical giant cystic lymphangioma in Children and cosmetic result.Methods Twenty-five children with cervical giant cystic lymphangioma were retrospectively analyzed.The diameter of all the tumors was more than 10 cm.24 cases underwent resection.The complication,therapeutic effect and cosmetic result were recorded.Results The tumors were all removed radically in all the cases.The patients were followed up for 1-5 years with no recurrence.Cosmetic result was satisfactory in 22 cases.Secondary operation was performed in 2 cases with satisfactory result.Complications included 5 cases of lymph leakage,2 cases of poor wound healing,1 case of infection and 2 cases of tongue edema.Conclusions The cervical giant cystic lymphangioma in children can be resected radically with satisfactory result.%目的 探讨小儿颈部囊状淋巴管瘤的治疗方法,尤其是巨大囊状淋巴管瘤的手术治疗,评价其根治性及美容效果.方法 回顾性分析2001至2010年收治的25例小儿颈部巨大囊状淋巴管瘤的病例资料,瘤体长径均大于10 cm,其中24例行瘤体切除,总结术后并发症,评价治疗效果,从瘤体根治性及美容学要求讨论小儿颈部巨大囊状淋巴管瘤的治疗方法.结果 24例患儿的瘤体均完整切除,术后随访1～5年,颈部包块无复发,均实现根治.一期术后外观满意22例；2例瘢痕愈合,行二期修复整形术后外观满意.术后并发症包括淋巴液渗出5例；切口不良愈合2例,其中有1例并发术区感染；舌体水肿2例.结论 采用手术完整切除瘤体的方法,可以根治小儿颈部巨大囊状淋巴管瘤,并能达到外观满意的美容学要求.