Lemarchand-Venencien F
Service de neuroradiologie et d'angiographie thérapeutique, hôpital Lariboisière, Paris.
Rev Prat. 1992 Oct 15;42(16):1998-2004.
The present classification of angiomas is not only of nosological interest. If it has effectively replaced the previous multiple classifications, it is because it provides a perfect correlation between the clinical features of each type and its angio-architectural and haemodynamic features. In practice, this results in a well-established attitude since determining the clinical type makes it possible to select first the additional examinations required, then the therapeutic indications particular to each type. Angiomas are divided into two main groups: haemangiomas or pseudo-vascular tumours which are specific to infants and spontaneously resolve after the first months of life; superficial vascular malformations proper, with their elementary types each of them developed on a sector of the vascular blood system: capillary, venous or capillaro-venous, and arteriovenous malformations. These three types may be diversely associated in any given patient; they may also be associated with abnormalities of the lymphatic system, producing systematized and/or disseminated complex angiodysplasias.
目前的血管瘤分类不仅具有疾病分类学意义。它之所以能有效地取代先前的多种分类，是因为它在每种类型的临床特征与其血管结构和血流动力学特征之间建立了完美的关联。在实际应用中，这形成了一种既定的方法，因为确定临床类型后，首先可以选择所需的其他检查，然后确定每种类型特有的治疗指征。血管瘤主要分为两大类：血管瘤或假性血管肿瘤，这是婴儿特有的，在出生后的头几个月内会自行消退；真正的浅表血管畸形，其基本类型分别在血管血液系统的一个部分发展而来：毛细血管型、静脉型或毛细血管静脉型，以及动静脉畸形。这三种类型在任何给定患者中可能有不同的组合；它们也可能与淋巴系统异常相关，产生系统性和/或散发性复杂血管发育异常。
