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动静脉畸形:诊断与治疗的挑战

Arteriovenous malformations: a diagnostic and therapeutic challenge.

作者信息

de Miguel R, López-Gutierrez J C, Boixeda P

机构信息

Servicio de Dermatología, Trincay Polyclinic, Cayman Islands.

Servicio de Cirugía Pediátrica, Hospital La Paz, Madrid, España.

出版信息

Actas Dermosifiliogr. 2014 May;105(4):347-58. doi: 10.1016/j.ad.2013.04.013. Epub 2013 Jul 12.

DOI:10.1016/j.ad.2013.04.013
PMID:23856611
Abstract

Many dermatologists are largely unfamiliar with arteriovenous malformations (AVMs). This is partly due to the low prevalence of these lesions and to the fact that they are generally managed by other specialists, in particular, interventional radiologists and pediatric, maxillofacial, and plastic surgeons. In this article, we review the recommended nomenclature for AVMs and look at their clinical manifestations and diagnosis, as well as the ideal type and time of treatment. AVMs should be managed from a multidisciplinary approach, and the dermatologist's primary goal should be to make a proper diagnosis and thereby avoid unnecessary treatments.

摘要

许多皮肤科医生对动静脉畸形(AVM)基本不熟悉。部分原因是这些病变的患病率较低,且它们通常由其他专科医生治疗,特别是介入放射科医生以及儿科、颌面和整形外科医生。在本文中,我们回顾了AVM的推荐命名法,并探讨其临床表现、诊断以及理想的治疗类型和时机。AVM应采用多学科方法进行管理,皮肤科医生的主要目标应是做出正确诊断,从而避免不必要的治疗。

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