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妇科和泌尿生殖系统血管异常的诊断放射学表现和治疗干预范围。

Diagnostic radiology findings and spectrum of therapeutic interventions in gynaecological and urogenital vascular anomalies.

机构信息

Clinic for Radiology and Nuclear Medicine, University Medical Center Mannheim, Faculty of Clinical Medicine of Heidelberg University - Theodor Kutzer Ufer 1-3,68167 Mannheim, Germany Universitatsklinikum Mannheim, Klinik für Radiologie undNuklearmedizin, Heidelberg, Germany.

Department of Hand, Plastic and Reconstructive Surgery, Burn Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Heidelberg, Germany.

出版信息

Br J Radiol. 2021 Aug 1;94(1124):20210246. doi: 10.1259/bjr.20210246. Epub 2021 May 28.

Abstract

Vascular anomalies represent a rare congenital disease with manifestation at diverse anatomical sights and presenting with heterogenous symptoms. Undetected, they can progress and create acute and chronic complications with functional impairment. The manifestation in the female and male pelvis and the urogenital tract represents a multidisciplinary challenge for physicians. Especially outpatient management in gynaecology and urology is affected. Diagnostic Radiology holds an important supportive role in early diagnosis of the underlying urogenital vascular anomaly and referral to interventional radiology, either for minimal invasive treatment, or to surgery for further assessment. This pictorial review creates awareness for the spectrum of vascular anomalies of the gynaecological and urogenital tract, their characteristic imaging findings and dedicated interventional treatment options. The individual description of vascular anomalies, based on an appropriate nomenclature and classification standard, is a guide for radiologists to distinguish the underlying vascular anomaly from other vascular disorders and to accelerate diagnosis as well as therapeutic proceedings. In consequence, interdisciplinary management of patients with vascular anomalies of the female and male pelvis will benefit.

摘要

血管异常是一种罕见的先天性疾病,可在不同的解剖部位表现出来,并伴有不同的症状。如果不及时发现,它们可能会发展并导致急性和慢性并发症,从而导致功能受损。女性和男性骨盆及泌尿生殖系统的表现对医生来说是一个多学科的挑战。特别是妇科和泌尿科的门诊管理受到影响。诊断放射学在早期诊断泌尿生殖系统血管异常并转介介入放射学方面发挥着重要的支持作用,无论是进行微创治疗,还是进行手术进一步评估。本影像学综述使人们对妇科和泌尿生殖系统血管异常的范围、其特征性影像学表现以及专门的介入治疗选择有了认识。基于适当的命名法和分类标准对血管异常进行单独描述,可指导放射科医生将潜在的血管异常与其他血管疾病区分开来,从而加速诊断和治疗过程。因此,对女性和男性骨盆血管异常患者进行跨学科管理将受益。

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