Pozarny E, Grandi R, Lane G
J Am Podiatr Med Assoc. 2001 Feb;91(2):93-5. doi: 10.7547/87507315-91-2-93.
Clinically, a venous aneurysm is seen as a nonpulsatile mass with shrinkage upon elevation and enlargement with dependency. Confirmation of the diagnosis is best made by venography. In the case presented here of a rare aneurysm of the dorsal venous arch, the diagnosis of venous aneurysm was based on the histopathologic and intraoperative findings. If a venous aneurysm is symptomatic, it should be excised, with ligation of all feeder veins. In all cases, accurate preoperative diagnosis and evaluation allows for appropriate surgical planning.
临床上,静脉瘤表现为非搏动性肿块,抬高时缩小,下垂时增大。静脉造影是确诊的最佳方法。在此例罕见的手背静脉弓动脉瘤中,静脉瘤的诊断基于组织病理学和术中发现。如果静脉瘤有症状,应切除,并结扎所有供血静脉。在所有病例中,准确的术前诊断和评估有助于进行适当的手术规划。