Fraulin Frankie Og, Flannigan Ryan K, Sharma Vishal K, McPhalen Donald F, Harrop Robertson A
Section of Plastic Surgery, Section of Pediatric Surgery, Department of Surgery, University of Calgary, Calgary, Alberta.
Can J Plast Surg. 2012 Summer;20(2):67-70. doi: 10.1177/229255031202000211.
The Vascular Birthmark (VBM) Clinic at the Alberta Children's Hospital (Calgary, Alberta) is a multidisciplinary clinic dedicated to the evaluation of children with vascular anomalies.
To review the characteristics of patients seen at the VBM Clinic.
A retrospective data analysis of all pediatric patients presenting to the VBM Clinic between 1998 and 2009 was performed. Data including demographic, referring, diagnostic and treatment information were obtained from the clinic's database.
Of 932 patients, 621 with hemangiomas and 311 patients with vascular malformations were found in the database. Hemangiomas were more commonly found in girls (68.5%), and most commonly located on the head and neck (54%), with most patients (72.6%) having only one lesion. Of the patients with hemangiomas, 14.7% underwent diagnostic imaging investigation and 23.7% received treatment including medications, surgery, pulsed-dye laser or dressings. The sex distribution among the 311 patients with vascular malformations was almost equal. Venous malformations accounted for 38.9% of patients, isolated capillary malformations for 31.5%, lymphatic malformations for 11.6%, mixed low-flow malformations for 14.8% and arteriovenous malformations for 2.9%. Overall, 37.9% of patients underwent diagnostic imaging investigation and 42.4% received treatment - either pulsed-dye laser, surgical excision, sclerotherapy or other treatment.
Hemangiomas and vascular malformations can occur at any anatomical site. There is a large variation in clinical presentation necessitating expertise in a variety of diagnostic approaches and treatment modalities. Vascular anomalies are best managed in a multidisciplinary setting.
位于艾伯塔省卡尔加里市的艾伯塔儿童医院的血管胎记（VBM）诊所是一个多学科诊所，致力于评估患有血管异常的儿童。
回顾在VBM诊所就诊的患者的特征。
对1998年至2009年间到VBM诊所就诊的所有儿科患者进行回顾性数据分析。从诊所数据库中获取包括人口统计学、转诊、诊断和治疗信息的数据。
在932名患者中，数据库中发现621例患有血管瘤，311例患有血管畸形。血管瘤在女孩中更为常见（68.5%），最常见于头颈部（54%），大多数患者（72.6%）仅有一处病变。在患有血管瘤的患者中，14.7%接受了诊断性影像学检查，23.7%接受了治疗，包括药物治疗、手术、脉冲染料激光或敷料。311例血管畸形患者的性别分布几乎相等。静脉畸形占患者的38.9%，孤立性毛细血管畸形占31.5%，淋巴管畸形占11.6%，混合性低流量畸形占14.8%，动静脉畸形占2.9%。总体而言，37.9%的患者接受了诊断性影像学检查，42.4%接受了治疗——脉冲染料激光、手术切除、硬化治疗或其他治疗。
血管瘤和血管畸形可发生于任何解剖部位。临床表现差异很大，需要各种诊断方法和治疗方式方面的专业知识。血管异常最好在多学科环境中进行管理。
