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目的评价皮质类固醇局部注射治疗儿童眼睑血管瘤的效果。方法将69例儿童眼睑血管瘤随机分为2组:第1组35例,局部注射康宁克通A 20～40mg;第2组34例,局部注射康宁克通A 20～40mg和地塞米松2.5mg。结果第2组的痊愈率和显效率(85.3%)明显高于第一组(71.4%);年龄小于1岁的痊愈率和显效率(87.2%)明显高于1岁以上的患儿(70%);毛细血管瘤的痊愈率和显效率(87.2%)明显高于海绵状血管瘤(59.1%);治疗后患眼总的散光度数明显小于治疗前。结论局部注射康宁克通A和地塞米松是治疗儿童眼睑血管瘤的一种有效、安全、经济的方法。
Objective To evaluate the effect of topical corticosteroid injection on pediatric hemangiomas. Methods 69 cases of children with eyelid hemangioma were randomly divided into two groups: Group 1 35 cases, local injection of Cunningham A 20 ~ 40mg; Group 2 34 cases, local injection of Corning through A 20 ~ 40mg and dexamethasone 2.5 mg. Results The cure rate and effective rate (85.3%) in group 2 were significantly higher than those in group 1 (71.4%). The recovery rate and effective rate (87.2%) of children less than 1 year old were significantly higher than those of children aged 1 and older %). The cure rate and effective rate of capillary hemangioma (87.2%) were significantly higher than those of cavernous hemangioma (59.1%). The total astigmatism degree of the affected eyes was significantly less than that before treatment. Conclusion The local injection of Kang Ning Ketong A and dexamethasone is an effective, safe and economical method for the treatment of children with eyelid hemangiomas.