Taghinia Amir H, Upton Joseph
Department of Plastic Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Department of Plastic Surgery, Boston Children's Hospital and Harvard Medical School, Boston, MA.
J Hand Surg Am. 2018 Dec;43(12):1113-1121. doi: 10.1016/j.jhsa.2018.03.046. Epub 2018 Jun 12.
Vascular anomalies encompass a wide variety of clinical conditions involving the vasculature. Over the past several decades, the terminology has changed as our understanding of these conditions has improved. A well-accepted classification scheme has evolved with constant additions, updates, and revisions. Imaging techniques have also advanced with greater resolution and a better understanding of the correlation between imaging, clinical behavior, and natural history. Meanwhile, the treatment of these conditions has also changed, with greater focus on minimally invasive techniques as opposed to radical surgery. Despite these changes, surgical intervention remains a high-value option for select patients. With greater understanding of the molecular basis of these diseases, medical treatment has improved especially in severe cases where options remain limited. A multidisciplinary approach to comprehensive patient care usually yields the best outcome and is strongly encouraged.
血管异常涵盖了涉及脉管系统的多种临床病症。在过去几十年里，随着我们对这些病症认识的提高，术语也发生了变化。一个广为接受的分类方案在不断增加、更新和修订中逐渐形成。成像技术也取得了进步，分辨率更高，对成像、临床行为和自然病程之间的相关性有了更好的理解。与此同时，这些病症的治疗方式也发生了变化，更加注重微创技术而非根治性手术。尽管有这些变化，但手术干预对于特定患者而言仍是一个具有高价值的选择。随着对这些疾病分子基础的深入了解，药物治疗尤其是在选择有限的严重病例中有所改善。采用多学科方法进行全面的患者护理通常能取得最佳效果，因此强烈推荐这种做法。
