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首页> 外文期刊>Journal of the Chinese Medical Association: JCMA >Nonpalpable intramuscular hemangioma treated with hookwire localization and excision
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Nonpalpable intramuscular hemangioma treated with hookwire localization and excision

机译：钩丝定位和切除治疗不可触及的肌内血管瘤

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Background: The local recurrence rate after surgical excision of intramuscular hemangioma reported is between 18% and 61%. The aim of this study was to review the clinical outcome and local recurrence rate after surgical excision of nonpalpable intramuscular hemangioma using preoperative ultrasound-guided hookwire localization. Methods: We performed ultrasound-guided hookwire localization before excision surgery for nonpalpable intramuscular hemangioma in 37 cases between January 1997 and 2011. There were 20 females and 17 males, with a mean age of 30.2 years (range, 17–49 years). The mean localization procedure time was 10.6?minutes (range, 3–20?minutes). Results: The average operation time was 48.6?minutes (range, 30–80?minutes). The average length of the excision wound was 5?cm (range, 4–11?cm), and the average hospital stay was 2.5 days (range, 2–4 days). The postoperative therapeutic report confirmed the diagnosis of intramuscular hemangioma. The average tumor size was 2.11?cm and all excision margins were free in all specimens. After the mean follow-up of 92.9 months (range, 14–179 months), one of the 37 patients had local recurrence (recurrence rate 2.7%). Conclusion: The use of ultrasound-guided hookwire localization before excision surgery is safe and effective in treating nonpalpable intramuscular hemangioma and could provide a better cosmetic result and functional recovery.
机译：背景：据报道，肌瘤血管瘤手术切除后的局部复发率在18％至61％之间。这项研究的目的是审查术前超声引导下钩丝定位术不可触及的肌内血管瘤的手术切除后的临床结果和局部复发率。方法：1997年1月至2011年1月，我们对37例不可触及的肌内血管瘤进行了超声引导下的钩丝定位术。女性20例，男性17例，平均年龄30.2岁（范围17-49岁）。平均定位过程时间为10.6分钟（范围为3至20分钟）。结果：平均手术时间为48.6分钟（范围为30–80分钟）。切除伤口的平均长度为5？cm（范围为4-11？cm），平均住院时间为2.5天（范围为2-4天）。术后治疗报告证实了肌内血管瘤的诊断。平均肿瘤大小为2.11？cm，所有标本的切除切缘均无。平均随访92.9个月（14-179个月）后，这37例患者中有1例局部复发（复发率为2.7％）。结论：在切除手术前使用超声引导的钩丝定位术治疗不易触及的肌内血管瘤是安全有效的，并可提供更好的美容效果和功能恢复。

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