静脉瘤的手术治疗。
Surgical management of venous aneurysms.
机构信息
Department of Vascular and Endovascular Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt; Department of Vascular and Endovascular Surgery, St Vincent's University Hospital, University College Dublin, Dublin, Ireland.
Department of Vascular and Endovascular Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
出版信息
J Vasc Surg Venous Lymphat Disord. 2021 Jan;9(1):193-199. doi: 10.1016/j.jvsv.2020.05.009. Epub 2020 May 25.
BACKGROUND
Venous aneurysms (VA) are often underestimated as a dangerous vascular condition that can lead to fatal complications. We have adopted a more aggressive surgical approach to treatment of venous aneurysms that seems to be safe and effective, and report herein the results of this approach.
METHODS
A retrospective analysis of patients presented with VA between January 2013, and January 2018.
RESULTS
We identified 13 VA in 13 patients. The mean patient age was 21.6 years (range, 7-42 years). Six patients were male (46.2%) and seven were female (53.8%). All patients presented with swellings in different areas, mostly in the neck (nine patients [69.2%]). Two patients had a short saphenous vein aneurysm complicated with paresthesia (15.3%). All patients underwent surgical correction. Tangential excision was done for noncomplicated saccular aneurysms (six patients [46.2%]), whereas ligation and excision were done for fusiform aneurysms (five patients) and two saccular aneurysms presenting with thrombosis (53.8%). No signification complications were noted.
CONCLUSIONS
Surgical treatment of venous aneurysms is safe and may help to avoid possible pulmonary embolism.
背景
静脉瘤（venous aneurysms，VA）常被低估为一种危险的血管疾病，可导致致命的并发症。我们采用了更为积极的手术方法来治疗静脉瘤，这种方法似乎是安全有效的，在此报告该方法的结果。
方法
回顾性分析了 2013 年 1 月至 2018 年 1 月期间就诊的静脉瘤患者。
结果
我们共发现 13 例静脉瘤患者，平均年龄为 21.6 岁（范围：7-42 岁）。其中 6 例为男性（46.2%），7 例为女性（53.8%）。所有患者均表现为不同部位的肿胀，主要位于颈部（9 例[69.2%]）。2 例患者存在单纯性大隐静脉瘤合并感觉异常（15.3%）。所有患者均接受了手术矫正。非复杂囊状动脉瘤行切线切除术（6 例[46.2%]），梭形动脉瘤和 2 例合并血栓形成的囊状动脉瘤行结扎切除术（53.8%）。无明显并发症发生。
结论
静脉瘤的手术治疗是安全的，可有助于避免可能的肺栓塞。
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