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目的:分析影响手术治疗儿童颌面部脉管畸形疗效的相关因素,以提高临床上对手术疗效的认识,从而提高儿童颌面部脉管畸形的治愈率,降低其复发率。方法:收集117例手术治疗的儿童期口腔颌面部脉管畸形患者的临床资料,并进行6个月～3年的随访。回顾性分析叮能影响疗效的因素,探讨各因素与患者颌面部脉管畸形手术疗效的关系。结果:随访期间,肿瘤治愈率为67.5%(79/117),对影响儿童颌面部脉管畸形手术疗效的单因素分析结果显示:肿瘤大小、瘤体包膜是否完整是影响手术治愈率的因素(P<0.05)。多因素分析结果显示:肿瘤的大小因素为危险因素,可降低手术治愈率:包膜是否完整是保护因素,对预后起积极作用,包膜完整的脉管畸形术后治愈率较不完整者高。肿瘤包膜是否完整对手术疗效的作用最大,其次为肿瘤大小。其他因素与预后无明显相关性。结论:瘤体大小及包膜是否完整是影响手术疗效的主要因素,术前准确、全面地讦仙肿瘤范围,包膜是否完整、正确把握手术适应症,可以提高脉管畸形治愈率。
OBJECTIVE: To analyze the related factors influencing the curative effect of maxillofacial vascular malformation in children, in order to improve the clinical understanding of the curative effect of the operation, so as to improve the cure rate and reduce the recurrence rate of maxillofacial vascular malformation in children. Methods: The clinical data of 117 cases of surgical treatment of oral and maxillofacial vascular malformation in children were collected and followed up for 6 months to 3 years. Retrospective analysis of factors that can affect the curative effect, to explore the relationship between factors and surgical treatment of maxillofacial vascular malformations. Results: During the follow-up period, the cure rate of tumor was 67.5% (79/117). The univariate analysis of the curative effect on maxillofacial vascular malformation in children showed that the size of the tumor and the integrity of the tumor capsule affect the cure rate Factor (P <0.05). Multivariate analysis showed that the size of the tumor was a risk factor, which could reduce the cure rate of the operation: whether the capsule was intact was a protective factor and had a positive effect on the prognosis, and the complete cure rate of vascular malformations was less than that of the incomplete ones . Tumor capsule is the most complete effect on the efficacy of surgery, followed by tumor size. Other factors have no significant correlation with prognosis. Conclusion: The size of the tumor and the completeness of the capsule are the main factors influencing the curative effect of the surgery. Accurately and comprehensively preoperatively, the scope of the tumor and the capsule are intact, and the indication of the operation can be correctly obtained, which can improve the cure rate of the vascular malformation.