组织工程与重建外科杂志2024，Vol.20Issue(6)：617-622,6.DOI:10.3969/j.issn.1673-0364.2024.06.003
体表动静脉畸形病灶血管构筑的临床研究:术前评估与治疗策略
Vascular construction of arteriovenous malformation lesions on the body surface:Preoperative evaluation and treatment strategies
陈威威 1贾赫尘 1王国勇 1王超楠 1王维新 1张晔 1吕彦泽 1杨晓楠1
作者信息
- 1. 100144 北京市 中国医学科学院整形外科医院血管瘤与脉管畸形整形科
- 折叠
摘要
Abstract
Objective To explore an accurate and effective examination method for arteriovenous malformation (AVM) vascular construction on the body surface,in order to guide the preoperative evaluation and the selection of treatment. Methods From September 2022 to September 2024,a total of 67 patients with body surface AVM were enrolled. Computed tomography angiography (CTA) was performed before treatment,Philips CT 6000 spiral CT was used for scanning,PHILIPS IntelliSpace Portal workstation was used for image post-processing,maximum density projection (MIP) and surface masking method reconstruction (SSD) were performed. Combined with the original image observation,the corresponding treatment plan was selected according to the vascular construction. Results CTA images of 67 patients with surface AVM showed abnormal blood vessels and their anatomical relationship with surrounding tissues,as well as the condition of adjacent bones. The patients were classified according to the Yakes classification criteria:6 patients showed Yakes type Ⅰ;28 cases showed Yakes type Ⅱa;4 patients showed Yakes type Ⅱb;4 patients showed Yakes type Ⅲa;10 cases showed Yakes type Ⅲb;11 patients showed Yakes type Ⅳ;4 patients could not be classified into a particular category. Based on the vascular architecture characteristics of the lesion area shown by the patient's CTA images,the corresponding treatment plan was designed,including interstitial injection therapy in 4 cases,surgical treatment in 16 cases,interventional treatment with absolute ethanol in 36 cases and combination therapy in 11 cases. Conclusion CTA examination can obtain accurate and clear vascular images of AVM lesions on the body surface,which has important clinical guiding significance for preoperative evaluation and treatment plan design.关键词
动静脉畸形/CT血管成像/血管构筑/介入治疗/无水乙醇Key words
Arteriovenous malformations/Computed tomography angiography/Vascular construction/Sclerotherapy/Absolute ethanol分类
医药卫生引用本文复制引用
陈威威,贾赫尘,王国勇,王超楠,王维新,张晔,吕彦泽,杨晓楠..体表动静脉畸形病灶血管构筑的临床研究:术前评估与治疗策略[J].组织工程与重建外科杂志,2024,20(6):617-622,6.
