口腔颌面部脉管性疾病出血处理专家共识

doi:10.19439/j.sjos.2025.05.001

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (5): 449-456.doi: 10.19439/j.sjos.2025.05.001

口腔颌面部脉管性疾病出血处理专家共识

王德明^1,*, 苏立新^1,*, 杨耀武², 刘少华³, 龚忠诚⁴, 梁新华⁵, 蔡育⁶, 刘宇楠⁷, 秦中平⁸, 董长宪⁹, 陈传俊¹⁰, 吕少华¹¹, 于国霞¹², 郭磊¹³, 张胜¹⁴, 申刚¹⁵, 孟箭¹⁶, 李海波¹⁷, 阴捷¹⁸, 郑家伟^19#, 范新东^1#

1.上海交通大学医学院附属第九人民医院介入科,上海 200011;
2.空军军医大学第三附属医院口腔颌面-头颈肿瘤科,陕西西安 710032;
3.山东大学齐鲁医院口腔颌面外科,山东济南 250012;
4.新疆医科大学第一附属医院口腔颌面肿瘤外科,新疆乌鲁木齐 830054;
5.四川大学华西口腔医院口腔颌面外科,四川成都 610041;
6.武汉大学口腔医院口腔颌面外科,湖北武汉 430079;
7.北京大学口腔医院口腔颌面外科,北京 100081;
8.临沂市肿瘤医院血管瘤脉管畸形专科,山东临沂 276002;
9.河南省人民医院血管瘤外科,河南郑州 450003;
10.中国科学技术大学附属第一医院口腔颌面外科,安徽合肥 230001;
11.哈尔滨医科大学附属第一医院口腔颌面外科,黑龙江哈尔滨 150001;
12.国家儿童医学中心,首都医科大学附属北京儿童医院口腔科,北京 100045;
13.山东大学附属儿童医院血管瘤与介入血管外科,山东济南 250022;
14.中南大学湘雅二医院口腔颌面外科,湖南长沙 410011;
15.首都医科大学附属首都儿童医学中心血管瘤及介入血管中心,北京 100020;
16.徐州市中心医院口腔科,江苏徐州 221009;
17.广州医科大学附属妇女儿童医疗中心介入血管瘤科,广东广州 510120;
18.首都医科大学附属北京儿童医院影像中心,北京 100045;
19.上海交通大学医学院附属第九人民医院口腔颌面-头颈肿瘤科,上海 200011

收稿日期:2025-07-14 修回日期:2025-08-03 出版日期:2025-10-25 发布日期:2025-10-31
通讯作者: 范新东,E-mail：fanxindong@aliyun.com;郑家伟,E-mail：davidzhengjw@hotmail.com。^#共同通信作者
作者简介:王德明（1978-）,男,博士,副主任医师,E-mail：wdmdeming@hotmail.com;苏立新（1975-）,男,博士,主任医师,E-mail：sulixin1975@126.com。^*并列第一作者
基金资助:
国家临床重点专科建设项目

Expert consensus on bleeding management of vascular anomalies in the oral and maxillofacial region

Wang Deming¹, Su Lixin¹, Yang Yaowu², Liu Shaohua³, Gong Zhongcheng⁴, Liang Xinhua⁵, Cai Yu⁶, Liu Yunan⁷, Qin Zhongping⁸, Dong Changxian⁹, Chen Chuanjun¹⁰, Lyu Shaohua¹¹, Yu Guoxia¹², Guo Lei¹³, Zhang Sheng¹⁴, Shen Gang¹⁵, Meng Jian¹⁶, Li Haibo¹⁷, Yin Jie¹⁸, Zheng Jiawei¹⁹, Fan Xindong¹

1. Department of Intervention Therapy, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
2. Department of Oral and Maxillofacial Surgery, School of Stomatology, Air Force Military Medical University. Xi'an 710032, Shaanxi Province;;
3. Department of Oral and Maxillofacial Surgery, Qilu Hospital of Shandong University. Jinan 250012, Shandong Province;
4. Oncological Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Xinjiang Medical University. Urumqi 830000, Xinjiang Uygur Autonomous Region;
5. Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University. Chengdu 610041, Sichuan Province;
6. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Wuhan University. Wuhan 430079, Hubei Province;
7. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology. Beijing 100081;
8. Special Department of Vascular Anomalies, Linyi Cancer Hospital. Linyi 276100, Shandong Province;
9. Department of Hemangioma and Vascular Malformation, Henan Provincial People's Hospital, Zhengzhou University. Zhengzhou 453000, Henan Province;;
10. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of University of Science and Technology of China. Hefei 230001, Anhui Province;
11. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Harbin Medical University. Harbin 150001, Heilongjiang Province;
12. Department of Stomatology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health. Beijing 100045;
13. Department of Hemangioma and Interventional Vascular Surgery, Children's Hospital Affiliated to Shandong University（Jinan Children's Hospital). Jinan 250022, Shandong Province;
14. Department of Oral and Maxillofacial Surgery, The Second Xiangya Hospital, Central South University. Changsha 410011, Hunan Province;
15. Vascular Anomalies and Vascular Interventional Center, Capital Center for Children's Health, Capital Medical University. Beijing 100020;
16. Department of Stomatology, Xuzhou Central Hospital. Xuzhou 221009, Jiangsu Province;
17. Department of Interventional Radiology and Vascular Anomalies, Guangzhou Women and Children's Medical Center, Guangzhou 510623, Guangdong Province;
18. Department of Radiology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health. Beijing 100045;
19. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2025-07-14 Revised:2025-08-03 Online:2025-10-25 Published:2025-10-31

摘要/Abstract

摘要： 口腔颌面部是脉管性疾病最常见的发病部位,这类疾病中一些类型容易导致出血,或者出血是最先表现的症状。口腔颌面部血液循环丰富,邻近呼吸道的始端,发生在此区域的脉管性疾病引起的出血,处理比较棘手。如果处理不及时或者方法不当,可能导致严重并发症。基于此,我们组织国内长期从事口腔颌面部脉管性疾病诊断与治疗的专家撰写此共识,以期为相关专业医护人员在面对这类疾病出血时给出临床处理过程中指导性意见与建议。

关键词: 口腔颌面部, 脉管性疾病, 出血, 治疗, 专家共识

Abstract: Oral and maxillofacial region is the most common site for the onset of vascular anomalies. Some vascular anomalies can lead to bleeding, which may be the first noticeable symptom. Due to the rich blood supply and the proximity to the respiratory tract, bleeding in this area is particularly challenging to manage. If not treated promptly or if inappropriate methods are used, they may result in serious complications. To address this issue, we invited a group of domestic experts with extensive experience in diagnosing and treating vascular anomalies in oral and maxillofacial region to formulate this consensus. The goal is to provide guidance and recommendations for medical professionals on the management of bleeding associated with these vascular lesions.

Key words: Oral and maxillofacial region, Vascular anomalies, Bleeding, Treatment, Expert consensus

中图分类号:

R739.8
R782

王德明, 苏立新, 杨耀武, 刘少华, 龚忠诚, 梁新华, 蔡育, 刘宇楠, 秦中平, 董长宪, 陈传俊, 吕少华, 于国霞, 郭磊, 张胜, 申刚, 孟箭, 李海波, 阴捷, 郑家伟, 范新东. 口腔颌面部脉管性疾病出血处理专家共识[J]. 上海口腔医学, 2025, 34(5): 449-456.

Wang Deming, Su Lixin, Yang Yaowu, Liu Shaohua, Gong Zhongcheng, Liang Xinhua, Cai Yu, Liu Yunan, Qin Zhongping, Dong Changxian, Chen Chuanjun, Lyu Shaohua, Yu Guoxia, Guo Lei, Zhang Sheng, Shen Gang, Meng Jian, Li Haibo, Yin Jie, Zheng Jiawei, Fan Xindong. Expert consensus on bleeding management of vascular anomalies in the oral and maxillofacial region[J]. Shanghai Journal of Stomatology, 2025, 34(5): 449-456.

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口腔颌面部脉管性疾病出血处理专家共识

Expert consensus on bleeding management of vascular anomalies in the oral and maxillofacial region

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