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经皮硬化治疗静脉畸形。

Percutaneous Sclerotherapy of Venous Malformations.

机构信息

Boston Children's Hospital, Harvard Medical School, Department of Radiology, Division of Pediatric Interventional Radiology, University of North Carolina at Chapel Hill, School of Medicine, Boston, MA; Department of Radiology, Division of Vascular and Interventional Radiology, University of North Carolina Medical Center, Boston, MA.

出版信息

Tech Vasc Interv Radiol. 2024 Jun;27(2):100960. doi: 10.1016/j.tvir.2024.100960. Epub 2024 Jun 14.

Abstract

Venous malformation (VM) stands as the most prevalent form of vascular malformation, characterized by its diverse morphology. These lesions can manifest in any part of the body, affecting different tissue planes and giving rise to symptoms such as pain, swelling, or physical dysfunction. In the realm of treatment, direct puncture VM sclerotherapy holds its place as the primary approach. This technique involves the administration of a sclerosing agent into the VM channels during contrast phlebography while simultaneously managing the outflow veins through different methods. The process of VM sclerotherapy induces endothelial damage, thrombosis, and fibrosis, resulting in symptom relief through lesion shrinkage. It is crucial to exercise caution techniques and sclerosing agents during VM sclerotherapy to minimize procedural complications, enhance clinical outcomes, and ultimately improve the patient's overall quality of life.

摘要

静脉畸形(VM)是最常见的血管畸形形式,其特征是形态多样。这些病变可发生在身体的任何部位,影响不同的组织层面,并导致疼痛、肿胀或功能障碍等症状。在治疗方面,直接穿刺 VM 硬化治疗是主要方法。该技术在对比静脉造影时通过不同方法同时管理流出静脉,将硬化剂注入 VM 通道中。VM 硬化治疗通过内皮损伤、血栓形成和纤维化诱导症状缓解,导致病变缩小。在 VM 硬化治疗中,谨慎使用技术和硬化剂至关重要,以最小化程序并发症,提高临床结果,并最终提高患者的整体生活质量。

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