Kosćak D, Stiplosek I, Gligorović R
Acta Chir Iugosl. 1989;36(2):277-85.
Three patients with aneurysmal dilations of the saphenous vein at the upper part of the leg have been presented. Arterial aneurysms are relatively frequent, but venous ones are exceptionally rare, and in the world literature, up-to-now, there have been reported about 300 such aneurysms. The most frequent localization of venous aneurysms is at the neck, and then at the area of upper and lower extremities. Diagnosis of aneurysmal dilated saphenous vein, in our three patients was done clinically and bu ascendent phlebographu, and Histologically, AS well Differential-diagnosis: arterial aneurysms, AV fistula, fomoral/inguinal hernias, enlarged lymphnodes and cold abscesses. If the venous aneurysm has been thrombosed, the correct diagnosis is more difficult, as it gives an impression of solid tumour. Complications of venous aneurysms are: rupture, thrombosis, recurrent, as well as fatal pulmonary embolism. The method of choice in the treatment of venous aneurysm is surgery; in our patients it consisted in resection of venous aneurysmal dilated vein together with the part of the vein itself.
本文报告了3例发生于小腿上段的大隐静脉瘤样扩张患者。动脉瘤相对常见,而静脉瘤极为罕见,截至目前,世界文献中报道的此类静脉瘤约有300例。静脉瘤最常见的部位是颈部,其次是上肢和下肢。对我们的3例患者,通过临床检查和上行静脉造影诊断出大隐静脉瘤样扩张,组织学检查以及鉴别诊断包括:动脉瘤、动静脉瘘、股/腹股沟疝、肿大淋巴结和寒性脓肿。如果静脉瘤已形成血栓,正确诊断会更加困难,因为其给人一种实性肿瘤的印象。静脉瘤的并发症包括:破裂、血栓形成、复发以及致命性肺栓塞。治疗静脉瘤的首选方法是手术;在我们的患者中,手术包括切除静脉瘤样扩张的静脉及其部分静脉本身。