中华皮肤科杂志 ›› 2020, Vol. 53 ›› Issue (7): 501-507.doi: 10.35541/cjd.20200603

• 专家笔谈 • 上一篇    下一篇

血管瘤与脉管畸形诊疗现状与展望

李丽,张斌,尉莉,马琳   

  1. 国家儿童医学中心 首都医科大学附属北京儿童医院皮肤科 100045
  • 收稿日期:2020-06-15 修回日期:2020-06-18 发布日期:2020-07-06
  • 通讯作者: 马琳 E-mail:bch_maleen@aliyun.com

Diagnosis and treatment of hemangiomas and vascular malformations: current status and prospect

Li Li,Zhang Bin ,Wei Li ,Ma Lin   

  1. Department of Dermatology, Beijing Children′s Hospital, Capital Medical University, National Center for Children′s Health, Beijing 100045, China
  • Received:2020-06-15 Revised:2020-06-18 Published:2020-07-06
  • Contact: Ma Lin E-mail:bch_maleen@aliyun.com

摘要: 【摘要】 随着血管瘤和脉管畸形分类的不断更新,其诊断和治疗也逐步发展。婴儿血管瘤预后良好,但治疗时机和方法选择对预后至关重要,β受体阻滞剂是一线药物。而脉管畸形尤其一些发病率较低的脉管畸形相关综合征的正确诊断及鉴别诊断仍是现代医学领域面临的挑战。近年研究显示,脉管畸形致病与相关基因突变相关,这些发现为靶向药物治疗提供了理论依据。本文阐述常见的血管瘤及脉管畸形的诊断和治疗现状、存在问题及未来研究方向。

关键词: 血管瘤, 血管畸形, 淋巴管畸形, 诊断, 治疗

Abstract: 【Abstract】 Hemangiomas and vascular malformations are common diseases in children. With the continuous update of disease classification criteria, their diagnosis and treatment have also gradually developed. Infantile hemangioma has a good prognosis, but the timing and method of treatment are crucial to the prognosis. Beta-blockers are the first-line drugs for the treatment of infantile hemangioma. The correct diagnosis and differential diagnosis of vascular malformations, especially some vascular malformation-related syndromes with low incidence, are still challenges in the field of modern medicine. Recent studies have shown that the pathogenesis of vascular malformations is associated with mutations in related genes, which provides a theoretical basis for targeted drug therapy. Multidisciplinary integration is the future trend in the diagnosis and treatment of vascular malformations. This review describes the current status of, as well as problems and future research directions in the diagnosis and treatment of common hemangiomas and vascular malformations.

Key words: Hemangioma, Vascular malformations, Lymphatic abnormalities, Diagnosis, Therapy

引用本文

李丽 张斌 尉莉 马琳. 血管瘤与脉管畸形诊疗现状与展望[J]. 中华皮肤科杂志, 2020,53(7):501-507. doi:10.35541/cjd.20200603

Li Li Zhang Bin Wei Li Ma Lin. Diagnosis and treatment of hemangiomas and vascular malformations: current status and prospect[J]. Chinese Journal of Dermatology, 2020, 53(7): 501-507.doi:10.35541/cjd.20200603