静脉外膜囊性疾病的诊断与治疗OACSTPCD
Diagnosis and treatment of venous adventitial cystic disease
静脉外膜囊性疾病(VACD)是一种罕见的血管疾病,主要表现为单侧肢体肿胀,且常常误诊为深静脉血栓形成等其他疾病.彩色多普勒超声、CT血管造影和磁共振成像在VACD的诊断中发挥着重要作用.外科手术是VACD的主要治疗方法,包括囊肿切开、囊壁切除、囊肿穿刺抽液、囊肿及血管切除等.尽管如此,VACD的复发率较高,可达 20%～83%.提高对VACD的认识,做出正确诊断,选择合理的手术方式,对提高治疗效果和降低复发率具有重要意义.
Venous adventitial cystic disease(VACD)is a rare vascular disease which often manifests as unilateral limb swelling,and so misdiagnosed as other diseases such as deep vein thrombosis.Color Doppler ultrasound,CT angiography and magnetic resonance imaging play a crucial role in the diagnosis of VACD.Surgical treatment is the main method for VACD,including cyst incision,cyst wall resection,cyst puncture,aspiration and cyst and vessel resection.The recurrence rate of VACD is relatively high,ranging from 20%to 83%.Enhancing the understanding of VACD,making accurate diagnoses and appropriate surgical operation are of great significance for improving treat-ment outcomes and reducing the recurrence rate.
张妍祺;闫彬;宁雅婵;余雪渊;王春梅
首都医科大学 临床医学系,北京 100069首都医科大学宣武医院 重症医学科,北京 100053
临床医学
静脉外膜囊性疾病深静脉血栓形成静脉血栓症血管囊肿
venous adventitial cystic diseasedeep vein thrombosisvenous thromboembolismvascular cyst
《基础医学与临床》 2024 (007)
921-924 / 4
首都卫生发展科研专项(首发 2022-2-2016)
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