Christenson Brian M, Gipson Matthew G, Smith Mitchell T
Division of Interventional Radiology, Department of Radiology, University of Colorado School of Medicine, Denver Anschutz Medical Campus, Aurora, Colorado.
Semin Intervent Radiol. 2013 Dec;30(4):364-71. doi: 10.1055/s-0033-1359730.
Vascular malformations (VMs) comprise a wide spectrum of lesions that are classified by content and flow characteristics. These lesions, occurring in both focal and diffuse forms, can involve any organ and tissue plane and can cause significant morbidity in both children and adults. Since treatment strategy depends on the type of malformation, correct diagnosis and classification of a vascular lesion are crucial. Slow-flow VMs (venous and lymphatic malformations) are often treated by sclerotherapy, whereas fast-flow lesions (arteriovenous malformations) are generally managed with embolization. In addition, some cases of VMs are best treated surgically. This review will present an overview of VMs in the female pelvis as well as a discussion of endovascular therapeutic techniques.
血管畸形(VMs)包括多种病变,可根据其内容物和血流特征进行分类。这些病变以局灶性和弥漫性形式出现,可累及任何器官和组织层面,在儿童和成人中均可导致严重的发病情况。由于治疗策略取决于畸形的类型,因此血管病变的正确诊断和分类至关重要。低流量血管畸形(静脉和淋巴管畸形)通常采用硬化治疗,而高流量病变(动静脉畸形)一般通过栓塞治疗。此外,一些血管畸形病例最好采用手术治疗。本综述将概述女性盆腔中的血管畸形,并讨论血管内治疗技术。