中国口腔颌面外科杂志 ›› 2014, Vol. 12 ›› Issue (1): 1-6.

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婴幼儿血管瘤药物治疗概述

郑家伟1, 马坤宁2, 张凌1   

  1. 1.上海交通大学医学院附属第九人民医院·口腔医学院 口腔颌面外科,上海 200011; 2.滨州医学院 口腔医学院2011级,山东 烟台 264003
  • 出版日期:2014-02-10 发布日期:2014-02-10
  • 通讯作者: 郑家伟,Tel: 021- 23271063, Fax: 021- 63121780, E-mail:zhjw@omschina.org.cn
  • 作者简介:郑家伟,男,医学博士,教授,博士(后)研究生导师。现任上海交通大学口腔医学院副院长,兼任国际脉管疾病研究学会(ISSVA)委员,中华口腔医学会口腔颌面外科专业委员会委员、脉管疾病学组副组长,口腔医学教育专业委员会副主任委员,《上海口腔医学》、《中国口腔颌面外科杂志》常务副主编,《Chinese J Med,CMJ》、《J Oral Maxillofac Surg, JOMS》、《Head Neck Oncology,HNO》、《中华医学教育探索杂志》等多本专业杂志编委。承担国家自然科学基金课题4项,主编著作4部(英文1部),参编著作23部(英文2部)。发表论文277篇,其中被SCI收录63篇,教学论文34篇(SCI收录6篇)。参与制定《中国口腔医学本科教育标准》、《口腔各科临床实习标准》,领衔制订6部头颈部血管瘤和脉管畸形诊治指南,其中4部在国际杂志发表,获得了广泛认可。
  • 基金资助:
    国家自然科学基金(81271163)

Overview of current pharmacotherapy for infantile hemangiomas

ZHENG Jia-wei1, MA Kun-ning2, ZHANG Ling1   

  1. 1. Department of Oral and Maxillofacial Surgery, Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine. Shanghai 200011; 2. Grade 2011, College of Stomatology, Binzhou Medical College. Yantai 264003, Shandong Province, China
  • Online:2014-02-10 Published:2014-02-10
  • Supported by:
    Supported by National Natural Science Foundation of China (81271163).

摘要: 婴幼儿血管瘤是儿童期最常见的良性肿瘤,往往对患儿的生长发育、外观和心理造成影响。传统的治疗方法包括药物、激光和手术3大手段,以药物治疗为主。常用的药物有糖皮质激素、β受体阻滞剂、平阳霉素、α干扰素、咪喹莫特等,对危及生命的重症患者,也可采用长春新碱等化疗药物治疗。本文简述了各种药物,尤其是β受体阻滞剂的特性及在婴幼儿血管瘤治疗中的应用。

关键词: 婴幼儿血管瘤, 药物治疗, 受体阻滞剂

Abstract: Infantile hemangiomas (IH) are the most common tumors of infancy and childhood. 60% of them are localized in the head and neck region. They may impinge on vital structures, ulcerate, bleed, cause high-output cardiac failure or significant disfigurement if left untreated. The traditional treatment methods include drug therapy, laser therapy and surgery, with drug therapy being the mainstay of treatment. The medications most commonly used to treat IH are corticosteroids, beta-adrenergic blocker, pingyangmycin, interferon alfa, imiquimod, and etc. For function- and life-threatening infantile hemangioma, some anti-cancer agents like vincristine may be used as an effective alternative option. This succinct review summarized current pharmacotherapeutic therpy of IH, especially the properties and effectiveness of various beta-adrenergic antagonists in the management of IH.

Key words: Infantile hemangioma, Drug therapy, beta-adrenergic blocker