Galinier P, Philandrianos C, Bouali O, Petit P, Bardot J, Salazard B
Département de chirurgie pédiatrique viscérale, hôpital des Enfants, 330, avenue de Grande-Bretagne, 31026 Toulouse cedex 03, France.
Arch Pediatr. 2008 Jun;15(6):1087-90. doi: 10.1016/j.arcped.2008.03.005. Epub 2008 May 5.
Arteriovenous malformations are seldom in children but raise important therapeutic problems. Apart from intracranial arteriovenous malformations, few observations have been described in the literature. We report the case of a superficial perineal arteriovenous malformation in a 5-year-old child. Tailored embolization followed shortly by thorough surgery is the best attitude. Surgery must totally eradicate the lesion to allow hope for a cure. Surgery should be reserved for forms that are extensive or a source of complications. Even total resection does not ensure non-recurrence.
动静脉畸形在儿童中很少见,但会引发重要的治疗问题。除颅内动静脉畸形外,文献中鲜有相关病例报道。我们报告一例5岁儿童会阴部浅表动静脉畸形的病例。先进行定制栓塞,随后尽快进行彻底手术是最佳治疗方式。手术必须彻底根除病变,才有治愈的希望。手术应仅用于广泛型或有并发症的病例。即使完全切除也不能确保不复发。