There are many treatment methods for hemangiomas, and all of them are available in our hospital, including surgical resection, laser treatment, local injection drug treatment, oral drug treatment, copper needle treatment, minimally invasive interventional treatment, radiofrequency ablation treatment, radiation (isotope strontium 90) treatment and cryotherapy. Each treatment method has its own advantages and disadvantages and certain indications (rather than a certain method which is often publicized in various advertisements as the best method to cure all kinds of hemangiomas), and the most suitable treatment method should be selected objectively and dialectically depending on the different stages of development of the vascular lesions, types, sizes and parts of the vascular lesions, the patient’s age, health condition, and the presence or absence of complications, etc., and sometimes it is necessary to adopt comprehensive treatment in order to obtain a relatively satisfactory treatment effect. Sometimes it is necessary to use comprehensive treatment in order to obtain a more satisfactory therapeutic effect. Topical drug treatment: commonly used imiquimod, thiamethoxam, but imiquimod effect is better than thiamethoxam, and thiamethoxam has certain effect on heart, so there are more hospitals with imiquimod, these two are old drugs new, you have to read the instruction manual, they are not the treatment of hemangiomas, just in these years, it is found that there is a role for hemangiomas, and after all, it is topical drug, and it is not found that there are some side-effects, so it starts to be used for the treatment of hemangiomas gradually. gradually used in the treatment of hemangioma. Topical medicines have no side effects, no pain, and the scars are also slight compared with other treatments. Theoretically, it is a good treatment method for hemangioma, but the shortcoming is that the effect is not very reliable, and only 70% of the patients have effective results. Local injection drug treatment: originated from the 1960s, its principle is to inject drugs into hemangioma tumor tissue, causing aseptic inflammation, swelling disappears after the local fibrosis reaction, so that the hemangioma, blood vessel cavity shrinkage or occlusion. There are three kinds of commonly used injections, i. Human metabolites, which are the oldest drugs for hemangioma treatment, mainly hormone, urea. Although it is human metabolites, hormone is the most side effects of all the injection drugs, while urea treatment is the most frequent of all the injection drugs. Hormones are usually given once a month, usually seven or eight times in total, and urea is given daily, seven days in a row for a course of treatment, and then seven days every month, for several courses of treatment, which equals a total of 20 or 30 times. But these two drugs also have the advantage that it is the cheapest of all drugs, whether it is hormones or urea, a drug is almost a dozen dollars to tens of dollars. Second, chemotherapy drugs, once by most hospitals as a replacement product for human metabolites, mainly pingyangmycin, bleomycin. The effect is good, is used for the longest time, playing the most hospital drugs, but is, after all, chemotherapy drugs, many people will be afraid, the price is medium, the cost of drugs plus injection fees, once three or four hundred, a month to play once enough. Third, plant extracts, mainly polyguinol, polycardiol. Is now the latest type of hemangioma treatment drugs, the earliest by the German doctors found, and used in the treatment of hemangioma, the risk of minimal, the best results, but it is more expensive, a poly cinnamon alcohol will be six hundred, a month to play once is enough. Laser therapy: originated from the 1990s, laser is a monochromatic light with high energy, precise focus and certain penetrating power. Unlike the radioactive treatment mentioned earlier, lasers are light in physical nature, not rays, and are not radioactive. There are many lasers used in medicine, but not all of them can be used to treat hemangiomas, and only a few of them are specialized in treating hemangiomas. Its therapeutic principle is to make use of the selective absorption of oxygen-containing hemoglobin to the light of specific wavelength to make the hemoglobin in the blood vessel coagulate instantly, so that the lumen of the blood vessel is occluded and then degraded and disappeared, so as to achieve the purpose of treating hemangioma. Early angioma lasers include green light laser, photodynamic laser and E-light, while near-infrared long pulse width laser is a new laser newly developed for angioma treatment in these years. Green light laser (including KTP532, Dye 585 and Dye 595) is the earliest laser used in the treatment of hemangiomas. Due to its short wavelength and pulse width, it has the same effect as that of cryotherapy and radiation therapy on small superficial vascular lesions, but is ineffective on large deep vascular lesions. However, I personally do not like to use it for infants and young children because the light is very irritating to the eyes and the optic nerves of infants and young children are more sensitive to bright light. Near-infrared laser (long pulse width 1064nm laser) is a new laser marketed in the past two years. Compared with VP laser, due to longer wavelength and wider pulse width, it has better effect on strawberry hemangioma regardless of its size and depth, and it also has better effect on severe nevus erythematous nevus and wine pigmentation, so that the treatment range of the laser has been expanded and there is a new breakthrough in the treatment of hemangioma, but the disadvantage is that the operation requires a lot of technical know-how. The disadvantage is that the operation requires high technology, so the hospitals that dare to use 1064nm laser are fewer after all, and most of the hospitals still stay in the former VP dye laser, after all, it has been used for a long time and is familiar with it. Unlike the green light laser mentioned earlier, the long pulse width 1064 laser has no irritation to the eyes. Photodynamic laser therapy (also known as photosensitive laser therapy), the basic principle of treatment is similar, only on the basis of laser treatment with photosensitizer to increase the efficacy of laser. The photosensitizer is injected into the patient’s blood vessels first, and then the black light or long-wave band laser is used to irradiate the hemangioma area, which produces photochemical reaction after activation of the photosensitizer and leads to photosensitive damage of the endothelium and interstitium of the hemangioma part of the blood vessels and activates the endogenous coagulation system, which in turn causes intravascular coagulation and thrombosis leading to further damage to the blood vessel wall and destruction of the blood vessel wall, and the vascular lumen is closed, so that the therapeutic purpose can be achieved. It is mainly used for the treatment of wine pigmentation and nevus erythematosus, but this therapy must be strictly avoided during and one month after the treatment, or else serious photosensitivity reaction will occur, which is risky. E light, mainly used for the treatment of wine pigmentation and bright red nevus, only uses E energy instead of photosensitizer to promote the absorption of light, so there is no need to avoid light. Radiation (isotope strontium 90) treatment: it is usually said that the tablet dressing treatment, originated from the 1970s, the most commonly used isotope strontium 90 dressing, of course, there are P32 colloid injection, as well as superficial X-ray direct irradiation, the common principle of its treatment is the use of radioactive elements produced by the radiation ray on the damaged area of tissue cell nucleus bombardment, so that which the DNA strand, RNA strand breaks, termination of the The synthesis of nuclear proteins will cause cell death and disintegration, and radioactive damage will be caused at the treatment site to achieve the therapeutic effect. It can only be used for the treatment of strawberry hemangioma, and it is mainly effective for the slight superficial vascular lesions. Cryotherapy: originated in the 1950s, it mainly uses the strong low temperature (-96℃) caused by the volatilization of liquid nitrogen to condense the skin, hemangioma and tissues around the hemangioma in the diseased area, so that ice crystals are formed in the cells and lead to the rupture, disintegration, and death of the cells, so as to achieve the therapeutic effect. It is only applicable to small superficial strawberry hemangioma, and the effect is not very reliable, with more side effects, and now it is basically not used in large comprehensive hospitals. Radiofrequency ablation therapy: in fact, the principle is basically similar to that of traditional electric knife, which is widely publicized by many private hospitals after packaging, and the essence is to use high-frequency electric current to act on the tumor to produce high-frequency electro-coagulation within the tumor, which directly acts on the tumor cell membranes and elastic fibers and collagen fibers in the perivascular tissues, so as to make the vascular wall emulsify, coagulate, contract, and the tumor shrink rapidly until it disappears, and make the malformed blood vessels lose the environment of re-expansion, so as to achieve the therapeutic effect. Achieve the therapeutic effect. This method can theoretically be used for the treatment of many kinds of hemangiomas, but clinical practice has proved that it is mainly effective for hemangiomas containing lymphatic components, and now it is mainly used for the treatment of lymphatic capillary hemangiomas and multiple lymphatic-angio-lipomas. For hemangiomas with mainly blood vessels, the effect is not very good, and the scars after treatment are more obvious. Minimally invasive interventional therapy: belonging to modern minimally invasive surgery, it refers to under the guidance of X-ray or ultrasound (that is, minimally invasive superconducting therapy said by many private hospitals), inserting arterial and venous catheter into the root of the thigh and penetrating all the way to reach the site of hemangioma, and then injecting drugs into the tumor through the catheter to produce sterile inflammation in order to Then the drugs are injected into the tumor through the catheter to produce aseptic inflammation, so as to occlude the blood vessels of the tumor. The majority of hospitals are mainly used for trapezoidal hemangiomas in the deep part of the limbs and hemangiomas in the viscera, but the indications for the use of interventional therapy should be strictly controlled and the flow of embolic agents into other organs and tissues should be avoided, and basically it is seldom used for superficial (e.g., strawberry, spongy or mixed) tumors. Spongiform or mixed) hemangioma, superficial most of the direct injection is more simple, and if only to the standard of minimally invasive, then the injection can be considered non-invasive. Copper needle treatment: the principle is that after copper needle is placed into the tumor, the role of electric charge makes the solid components of the blood coagulate around the copper needle to induce thrombosis, occluding the blood sinus in the hemangioma and the blood vessels connected with it, and the tumor subsides. It is mainly used for the treatment of cavernous hemangioma and vascular malformation, and the copper needle can be used for the treatment of cavernous hemangioma with multiple larger blood vessels connected with it. Surgery: the treatment method of hemangioma was used a long time ago, and now the hospitals or departments which have the conditions to carry out other treatment methods of hemangioma are rarely used again. Surgery has no special therapeutic principle, which is just to remove the diseased tissues by surgical methods in order to achieve the therapeutic purpose. Generally speaking, because it is a hemangioma, the damaged area is rich in blood vessels and has a large blood volume, which makes the bleeding during the surgery extremely large, and the surgery is difficult and dangerous. Therefore, surgical treatment should strictly grasp the indications and weigh the value of surgery before determining whether to choose surgical treatment. Oral drug treatment: traditional oral drug is hormone, hormone may inhibit the abnormal proliferation of capillary endothelial cells of hemangioma, make the proliferation process stop as soon as possible to achieve the treatment of proliferative hemangioma, mainly used in the treatment of hemangioma with particularly wide area, because everyone knows that the side effects of hormone eating are more and more, so the hospitals that are still eating hormone eating treatment are getting fewer and fewer in these years, and the hospitals are fashionable to use hormone eating treatment in these two years. In the past two years, most of the hospitals have switched to using oral cardiac glycosides for the treatment of hemangiomas. Oral Xanax is mainly used by a French doctor in the treatment of heart disease unintentionally found that it also has better effect on hemangioma, and after reported, it has been applied in the clinical application of hemangioma treatment recently, its therapeutic principle is not known, and the indications for hormone treatment are the same, because we are all afraid of hormone, so comparatively speaking, Xanax doesn’t sound as horrible as hormone, so it’s now fashionable for everyone to eat this, but Heart an eat more also have cause liver, heart side effect risk, after all, no matter eat hormone or, eat heart an or, oral drug effect is really slower, a lot of have to eat for a long time, after all, any medicine eat more is certainly no good, so generally less hospitals with eat medicine treatment to do the first choice of treatment, generally are mainly used to treat a particularly wide range of other methods are not good! The treatment methods of hemangioma are many. Although there are many treatment methods for hemangioma, but any treatment actually has risks or side effects, if I purposely emphasize that there is any method that is the best without any risks or side effects, you still don’t believe me, even I don’t believe that there is such a good method, if I say that, it is certainly unrealistic, it is just a report of the good news and not the bad news. In fact, as we all know, the most important thing to see a doctor is to recognize the evidence, so a reasonable plan is to choose a relatively suitable treatment method according to the specific conditions of the disease. The general principle is that, if the hemangioma is relatively mild, according to the condition, choose one of the most suitable treatment methods, the simpler it is, the fewer the number of treatments, the better, the fewer the number, the fewer the side effects, not which method has fewer side effects. If it is complicated and the condition is more serious hemangioma, generally there are conditions that the treatment methods are carried out more complete, and it would be better if the integrated treatment can be combined with several methods, in order to give full play to the integrated effect of each method, reduce the number of treatments and the side effects as much as possible.