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两例合并症舌部动静脉畸形的胶水栓塞治疗:文献复习报告

Two Cases of Lingual Arteriovenous Malformations with Comorbidities Treated by Glue Embolization: A Report with Review of Literature.

作者信息

Nagarajan K, Prasanth P, Elango S

机构信息

1Department of Radio-Diagnosis, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, 605006 India.

2Department of Surgical Oncology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, 605006 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):696-701. doi: 10.1007/s12070-018-1504-3. Epub 2018 Sep 29.

DOI:10.1007/s12070-018-1504-3
PMID:31742045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6848448/
Abstract

Arteriovenous malformations (AVMs) involving the tongue are uncommon lesions in the head and neck region. They present with bleeding that can be massive and life-threatening apart from debilitating symptoms of pain, ulcers, difficulty in phonation or swallowing. Various therapeutic approaches have been used in their management-surgery, endovascular embolization, radiation and ablation procedures like laser ablation. We report two patients-a 34 year-old man and 56 year-old female who presented with massive bleeding due to lingual AVM and had comorbidities as liver cirrhosis and chronic medical renal disease respectively, and treated with glue embolization, with a review of the literature.

摘要

累及舌头的动静脉畸形(AVM)是头颈部区域少见的病变。除了疼痛、溃疡、发声或吞咽困难等使人衰弱的症状外,它们还会出现大量出血,这可能是大量的且危及生命。在其治疗中已使用了各种治疗方法——手术、血管内栓塞、放射治疗以及激光消融等消融手术。我们报告了两名患者——一名34岁男性和一名56岁女性,他们分别因舌部AVM出现大量出血,并且分别患有肝硬化和慢性肾病等合并症,均接受了胶水栓塞治疗,并对相关文献进行了综述。

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本文引用的文献

1
Massive glosso-cervical arteriovenous malformation: The rationale for a challenging surgical resection.巨大舌颈动静脉畸形:具有挑战性的手术切除的理论依据。
J Clin Exp Dent. 2014 Oct 1;6(4):e456-9. doi: 10.4317/jced.51608. eCollection 2014 Oct.
2
Localization and treatment of lingual venous and arteriovenous malformations.舌部静脉及动静脉畸形的定位与治疗
Vasc Med. 2014 Feb;19(1):49-53. doi: 10.1177/1358863X14521316.
3
Onyx embolization of a lingual arteriovenous malformation.舌动脉畸形血管栓塞治疗
Asian J Surg. 2012 Oct;35(4):159-62. doi: 10.1016/j.asjsur.2012.04.028. Epub 2012 Jun 6.
4
Arteriovenous malformation of the base of tongue in pregnancy: case report.舌根部动静脉畸形妊娠:病例报告。
Acta Otorhinolaryngol Ital. 2009 Oct;29(5):274-8.
5
Successful stereotactic radiosurgery with the CyberKnife of a giant arteriovenous malformation of the tongue: a case report.舌部巨大动静脉畸形的射波刀立体定向放射外科治疗成功:病例报告
Stereotact Funct Neurosurg. 2009;87(3):182-90. doi: 10.1159/000222662. Epub 2009 Jun 3.
6
[A case report of arteriovenous malformation of the tongue: vascular anatomy and note for transarterial embolization].[舌动静脉畸形病例报告:血管解剖及经动脉栓塞注意事项]
No Shinkei Geka. 2007 Nov;35(11):1103-8.
7
Arteriovenous malformations of the tongue: a spectrum of disease.舌部动静脉畸形:疾病谱
Laryngoscope. 2007 Feb;117(2):328-35. doi: 10.1097/01.mlg.0000249954.77551.98.
8
Vascular malformations of the tongue: MRI findings on three cases.舌部血管畸形:3例的MRI表现
Dentomaxillofac Radiol. 2006 May;35(3):205-8. doi: 10.1259/dmfr/75347689.
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Fast-flow lingual vascular anomalies in the young patient: is imaging diagnostic?年轻患者的快血流舌部血管异常:影像学检查具有诊断价值吗?
Pediatr Radiol. 2003 Feb;33(2):118-22. doi: 10.1007/s00247-002-0827-z. Epub 2002 Nov 14.
10
[Arteriovenous malformations: a study of 200 cases].[动静脉畸形:200例病例研究]
Ann Dermatol Venereol. 2000 Jan;127(1):17-22.