Herman Allison R, Morello Frank, Strickland Julie L
Divisions of Gynecologic Surgery and Radiology, Children's Mercy Hospital, Kansas City, Missouri, USA.
J Pediatr Adolesc Gynecol. 2004 Jun;17(3):179-81. doi: 10.1016/j.jpag.2004.03.040.
Unlike varicosities, which result from venous insufficiency, vascular malformations are developmental errors that do not regress. While these lesions are challenging to treat in most anatomic locations, genital venous malformations are particularly difficult problems for the gynecologist, urologist, or primary care physician who may identify them. The risk of surgical treatment has led to investigation of new therapeutic options for these vascular lesions.
We describe an 11-year-old premenarchal female with bilateral, symptomatic vulvar venous malformations. These lesions were successfully treated with Doppler ultrasound-guided direct injection venography and ethanol sclerotherapy.
Direct injection venography with ethanol sclerotherapy is an attractive diagnostic and therapeutic option for management of vulvar venous malformations.
与因静脉功能不全导致的静脉曲张不同，血管畸形是不会消退的发育性错误。虽然这些病变在大多数解剖部位的治疗都具有挑战性，但对于可能发现它们的妇科医生、泌尿科医生或初级保健医生来说，生殖器静脉畸形尤其棘手。手术治疗的风险促使人们对这些血管病变的新治疗选择进行研究。
我们描述了一名11岁的初潮前女性，患有双侧有症状的外阴静脉畸形。这些病变通过多普勒超声引导下直接注射静脉造影和乙醇硬化疗法成功治疗。
乙醇硬化疗法直接注射静脉造影是治疗外阴静脉畸形的一种有吸引力的诊断和治疗选择。
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