Vollmar J, Voss E U
Langenbecks Arch Chir. 1978 Nov;347:255-9. doi: 10.1007/BF01579338.
Diagnostically and therapeutically, three types of angiodysplasias interfere with venous surgery: 1. Congenital arteriovenous fistulas (Type F.P. Weber: secondary varicosis with local gigantism)--surgical reduction of the shunt-volume is usually indicated. 2. Type Klippel-Trenaunay: Surgery for varicose veins is dangerous due to the frequent hypo- or aplasia of the deep venous system. 3. Venous hemangiomatosis (Type Servelle-Martorell or Kasabach-Merritt): Any surgical intervention is contraindicated (only external compressive therapy).
在诊断和治疗方面,有三种血管发育异常会干扰静脉手术:1. 先天性动静脉瘘(F.P. 韦伯类型:继发性静脉曲张伴局部巨大症)——通常需要手术减少分流体积。2. 克-特综合征:由于深静脉系统频繁发育不全或发育不良,静脉曲张手术很危险。3. 静脉血管瘤病(塞尔维-马托雷尔或卡萨巴赫-梅里特类型):任何手术干预均为禁忌(仅采用外部压迫疗法)。