Management for lymphatic malformation in infants: a single center experience
10.3760/cma.j.issn.1009-4598.2017.02.002
- VernacularTitle: 单一中心婴幼儿淋巴管畸形治疗的效果分析
- Author:
Tao HAN
1
;
Jijun ZOU
;
Haini CHEN
;
Yi JI
;
Jianbing CHEN
;
Weimin SHEN
;
Jie CUI
Author Information
1. Department of Burns and Plastic Surgery, Nanjing Children′s Hospital Affiliated to Nanjing Medical University, Nanjing 210008, China
- Publication Type:Clinical Trail
- Keywords:
Lymphatic abnormalities;
Infant;
Trentment outcome
- From:
Chinese Journal of Plastic Surgery
2017;33(2):84-90
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the therapeutic effect of management for lymphatic malformation(LM)in infants.
Methods:This retrospective study recruited clinical data of 996 patients with LM from June 2004 to July 2015 in our center. All patients were diagnosed as LM after ultrasound, CT or MR scan. All patients were divided into Group 1 (427 patients, treated by endoscopic LM partial resection combined with cautery and postoperative intratumoral negative pressure and absolute ethyl alcohol), Group 2(239 patients, treated by combined pinyangmycin and dexamethasone injection), Group 3 (330 patients, treated by surgical resection only). The clinical effects were observed in three groups, and therapeutic effect differences in gender, age, maximum diameter, location, range, histological typing, lymph property and treatments were analysed in cervicofacial LM.
Results:Group 1: 333 patients were cured (78.0%), Group 2: 165 patients were cured(69.0%), Group 3: 238 patients were cured (72.1% ). The difference in cure rate between Group 1 and Group 2 or between Group 1 and Group 3 was significant(P<0.05). The number of patients with ≥2 treatments in Group 3 was significantly less than that in other two groups. The cure rate of LM in cervicofacial area was significantly lower than that in other parts of body (P<0.05). In cervicofacial LM patients, the therapeutic effect differences in maximum diameter, range, histological typing, lymph property were statistically significant (P<0.05). At the multivariable logistic regression analysis, LM range as well as histological typing were independent factors influencing the therapeutic effect (P<0.05).
Conclusions:Both treatment of endoscopic LM partial resection combined with cautery and postoperative intratumoral negative pressure and absolute ethyl alcohol, and surgical resection have good therapeutic effect on LM in infants. LM range as well as histological typing are important factors independently influencing the therapeutic effect of cervicofacial LM in infants.
