Treatment of neonatal hemangiomas

Neonatal hemangioma is undoubtedly a very common phenomenon. Many newborns will be found to have birthmarks on their bodies and heads to varying degrees after birth. These birthmarks often become larger with age, which is a common hemangioma. So how should we deal with this disease?

Surgery

Surgeons use professional surgical methods to remove the diseased tissue to achieve the purpose of treatment. It is effective for independent and smaller lesions. Generally, the lesion area has rich vascular images and a large amount of blood. The amount of bleeding during the operation is extremely large, often causing severe hemorrhagic shock. A large amount of whole blood transfusion is required during the operation. The operation is difficult and the risk level is high. At the same time, due to the bleeding, the blood cannot be completely removed and the operation is forced to be terminated. Therefore, the postoperative recurrence rate is very high. The focus of the operation is to remove part of the tumor, and the residual tumor, local deformity, loss and functional impairment. Long-term surgery is expensive and a burden that patients cannot bear. Facial skin capillary hemangioma can be combined with excellent cosmetic skin long-term transplantation to repair the lesion area. Therefore, the founder of regional surgical treatment should strictly master the indications and weigh the current surgical value before determining whether to choose the subject surgical cooperation treatment.

Radiation therapy

The treatment principle is to use the r-rays produced by radioactive elements to bombard the nuclei of the tissue cells in the lesion area, causing the DNA and RNA chains to break, terminating the synthesis of nucleoproteins, causing cell death and disintegration, and then achieving the purpose of treatment through the treatment of internal medicine tissue repair process. Commonly used clinical methods in Hangzhou include: superficial X-ray irradiation, local irradiation of cobalt, strontium film, local injection of phosphorus colloid, etc. After international treatment, the treated area is left with atrophic scars after radiation damage and the epidermis has desquamation. For this kind of atrophic core tissue and atrophic scar caused by radiation irradiation, experts recommend key surgical excision, otherwise the possibility of cancer cannot be ruled out. Experts believe that treating physicians should try to avoid using radiotherapy during the close treatment of hemangiomas.

Sclerotherapy

This method is derived from the injection therapy of dried hemorrhoids in the old times. The principle is: inject the hardener into the tumor tissue of the hemangioma (it cannot be injected into the blood vessels) to cause aseptic inflammation. After the swelling disappears, a local fibrosis reaction occurs, which shrinks or blocks the blood vessel cavity of the hemangioma. Commonly used drugs are: ① sodium corliver oleate; ② dried hemorrhoid injection; ③ alum injection; ④ dried alum and coptis injection; ⑤ sodium bicarbonate injection; ⑥ bleomycin and bleomycin; ⑦ boiling water injection therapy; ⑧ urea injection

We use the professional laser treatment equipment to coagulate the hemangioma tissue and achieve the purpose of treating the hemangioma in the area. However, the depth of laser abdominal treatment is generally controlled within the surface skin ~mm. If it exceeds mm, obvious scars will be produced. Therefore, it has a certain effect on superficial capillary hemangiomas, but it is easy to cause bleeding and scar deformities on deep hemangiomas.

With the development of medicine, there are many treatments for neonatal hemangiomas, including freezing technology and laser treatment. When the child reaches a certain age to receive treatment, parents should actively carry out treatment.