1.陆军军医大学第一附属医院江北院区肝胆外科,重庆 400023
2.陆军军医大学第一附属医院血管外科,重庆 400038
Published:25 November 2023,
Received:24 February 2023,
扫 描 看 全 文
刘平,杨世伟,郝迎学.个体化微创栓塞方案治疗头面部动静脉畸形的临床分析[J].局解手术学杂志,2023,32(11):959-962.
LIU Ping,YANG Shi-wei,HAO Ying-xue.Clinical analysis of individualized minimally invasive embolization in the treatment of cephalic facial arteriovenous malformation[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):959-962.
刘平,杨世伟,郝迎学.个体化微创栓塞方案治疗头面部动静脉畸形的临床分析[J].局解手术学杂志,2023,32(11):959-962. DOI: 10.11659/jjssx.02E023130.
LIU Ping,YANG Shi-wei,HAO Ying-xue.Clinical analysis of individualized minimally invasive embolization in the treatment of cephalic facial arteriovenous malformation[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):959-962. DOI: 10.11659/jjssx.02E023130.
目的
2
探讨个体化微创栓塞方案治疗头面部动静脉畸形的疗效。
方法
2
收集陆军军医大学第一附属医院2019年1月至2021年10月收治的13例复杂头面部动静脉畸形患者的临床资料,并对手术策略、栓塞材料选择、治疗效果、术后并发症、随访结果等进行总结。
结果
2
本研究中13例患者均顺利出院,手术有效率为100%,其中8例完全治愈,术前搏动,疼痛消失,皮温恢复正常;有5例术后出现不同程度并发症,经积极处理后完全缓解。
结论
2
头面部动静脉畸形供血动脉复杂,临床表现多样,手术处理方法不同,应根据畸形血管的特点和患者一般情况采取个体化治疗。
Objective
2
To investigate the curative effect of individualized minimally invasive embolization in the treatment of cephalic facial arteriovenous malformation.
Methods
2
The clinical data of 13 cases with complicated cephalic facial arteriovenous malformation admitted to First Affiliated Hospital of Army Medical University from January 2019 to October 2021 were collected, and the surgical strategies, selection of embolization materials, treatment effects, postoperative complications, and follow-up results were summarized.
Results
2
In this study, 13 patients were successfully discharged from the hospital, and the effective rate of operation was 100%. Among them, 8 cases were completely cured, with the preoperative pulsation and pain disappeared, and the skin temperature returned to normal. There were 5 cases with different degrees of postoperative complications, which were completely relieved after active treatment.
Conclusion
2
The supplying arteries of cephalic facial arteriovenous malformation are complex, with various clinical manifestations and different surgical treatment methods. Individualized treatment should be taken according to the characteristics of abnormal blood vessels and the general condition of patients.
动静脉畸形微创栓塞硬化治疗
arteriovenous malformationminimally invasive embolizationsclerotherapy
Muller-Wille R,Wildgruber M,Sadick M,et al.Vascular anomalies (part Ⅱ):interventional therapy of peripheral vascular malformations[J].Rofo,2018,7(8):1337-1344.doi:10.1055/s-0044-101266http://dx.doi.org/10.1055/s-0044-101266.
Stor M,Lokhorst MM,Horbach S,et al.Clinical characteristics associated with pain in patients with peripheral vascular malformations[J]. J Vasc Surg,2022,75(3):1054-1062.doi:10.1016/j.bjps. 2022. 08.042http://dx.doi.org/10.1016/j.bjps.2022.08.042.
Lokhorst MM,Jolink F,Horbach S,et al.Surgical treatment of peripheral vascular malformations:a systematic review and meta-analysis[J].Plast Reconstr Surg,2021,147(5):1149-1161.doi:10.1097/PRS.0000000000007837http://dx.doi.org/10.1097/PRS.0000000000007837.
Tahir M,Mumtaz MA,Sultan A,et al.Role of interventional radiology in the management of peripheral vascular malformations:a tertiary care center experience[J].Cureus,2018,10(3):e2335.doi:10.7759/cureus.2335http://dx.doi.org/10.7759/cureus.2335.
苏立新,范新东.动静脉畸形诊断与介入治疗专家共识[J].中国血管外科杂志(电子版),2020,12(3):180-184.doi:10.1016/j.jvs.2020.08.152http://dx.doi.org/10.1016/j.jvs.2020.08.152.
Hohn F,Hammer S,Fellner C,et al.3T MRI of peripheral vascular malformations:characteristics and comparison of two fat-saturated sequences:short tau inversion recovery versus three-dimensional high-resolution volume interpolated gradient recalled echo[J].Rofo,2021,193(4):446-458.doi:10.1055/a-1253-8422http://dx.doi.org/10.1055/a-1253-8422.
Stor M,Lokhorst MM,Horbach S,et al.Appearance-related concerns and their impact on health-related quality of life in patients with peripheral vascular malformations[J].J Plast Reconstr Aesthet Surg,2022,75(11):4202-4211.doi:10.1016/j.jvs.2021.08.101http://dx.doi.org/10.1016/j.jvs.2021.08.101.
Greene AK.Discussion:surgical treatment of peripheral vascular malformations:a systematic review and meta-analysis[J].Plast Reconstr Surg,2021,147(5):1162-1163.doi:10.1097/PRS.000000000000 7909http://dx.doi.org/10.1097/PRS.0000000000007909.
Schmidt VF,Masthoff M,Czihal M,et al.Imaging of peripheral vascular malformations - current concepts and future perspectives[J].Mol Cell Pediatr,2021,8(1):19.doi:10.1002/ajmg.a.62386http://dx.doi.org/10.1002/ajmg.a.62386.
Lokhorst MM,Horbach S,Waner M,et al.Responsiveness of quality of life measures in children with peripheral vascular malformations:the OVAMA project[J].JPRAS Open,2021,27:70-79.doi:10.1016/j.jpra.2020.11.013http://dx.doi.org/10.1016/j.jpra.2020.11.013.
Berger S,Andersen R,Smaastuen MC,et al.Long-term changes of health-related quality of life in patients with peripheral vascular malformations - a prospective observational study[J].J Plast Reconstr Aesthet Surg,2023,77:46-53.doi:10.1016/j.bjps.2022.10.024http://dx.doi.org/10.1016/j.bjps.2022.10.024.
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621
