婴幼儿血管瘤患者的概况

Arie Hidayati, Nanda Earlia, Ninda Sari, Vella, Mimi Maulida, C. W. Asrizal
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摘要

背景:婴儿血管瘤(IH)是儿童中最常见的良性肿瘤,以女孩为主。大多数IH病例由于自发复发而不需要治疗,但由于大小、位置和并发症,10%的病例确实需要早期治疗。目的:本研究试图在班达亚齐Zainoel Abidin医生总医院定义IH的概况、临床方面和治疗。方法:采用描述性方法,采用回顾性分析,采用门诊病人登记簿中的次要数据。本研究纳入了2013年至2021年间门诊综合医院所有新发婴儿血管瘤病例。结果:本研究共纳入105例患者。大多数IH患者(59%)年龄在1岁以下,2017年、2018年和2019年到儿科诊所就诊最多的是64名女性患者(61%)(77.1%)。69例(65.7%)皮肤病变以结节为最常见的临床特征,44例(13.3%)皮肤病变以面部为最常见部位。在20例患者中,丙泊洛尔和口服皮质类固醇联合使用是最有效的治疗策略(19%)。结论:婴幼儿血管瘤是最常见的儿童良性肿瘤。女性比男性更容易患IH。大多数IH是轻微的,通常不需要治疗就能自行消退。然而,某些罕见类型的IH需要临床医生的关注和系统的治疗。
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The Profiles of Infantile Hemangiomas Patients
Background: Infantile hemangiomas (IH) are the most prevalent benign tumors in children, predominantly in girls. Most IH cases do not require treatment due to spontaneous involution, but 10% of cases do require early treatment due to size, location, and complications. Purpose: This study tried to define the profile, clinical aspects, and therapy of IH in Dr. Zainoel Abidin General Hospital, Banda Aceh. Methods: A descriptive approach using a retrospective analysis employing secondary data from the outpatient clinic's patient registration book. This study included all new cases of infantile hemangioma at the outpatient clinic general hospital between 2013 and 2021. Result: A total of 105 patients were involved in this study. The majority of IH patients (59%) were under the age of one year, with 64 female patients (61%) making the most visits to the pediatric clinic in 2017, 2018, and 2019 (77.1%). The most prevalent clinical features of skin lesions were nodules in 69 individuals (65.7%), and the most common site was the facial region (13.3%) in 44 patients. In 20 individuals, a combination of propanolol and oral corticosteroids was used as the most effective treatment strategy (19% ). Conclusion: Infantile hemangiomas is the most frequently reported benign tumor in children. Females are more likely than males to develop IH. The majority of IH is minor and normally resolves on its own without therapy. However, certain rare kinds of IH require clinician attention and systematic treatment.
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