Trout H H, McAllister H A, Giordano J M, Rich N M
Surgery. 1985 Jan;97(1):36-41.
Fourteen patients with hemangiomas or arteriovenous malformations treated with operative management are described. Particular emphasis is placed on the definition of terms and the methods of differentiating arteriovenous fistulas, hemangiomas, and arteriovenous malformations. Arteriovenous fistulas are acquired lesions consisting of a single communication. Hemangiomas are congential lesions that rarely pulsate or have an associated bruit; moreover by angiography they have multiple small feeding arterial vessels and histologically are composed of numerous thin-walled, but normal-appearing, blood vessels. Arteriovenous malformations are also congenital but they pulsate and have associated bruits; furthermore on angiography they have a number of larger arterial feeding vessels and histologically are composed of abnormal dysplastic vessels. Operative management of all lesions should be carefully planned and executed. Arteriovenous malformations and skeletal muscle hemangiomas will have a tendency to recur if not completely excised.
本文描述了14例接受手术治疗的血管瘤或动静脉畸形患者。特别强调了术语的定义以及区分动静脉瘘、血管瘤和动静脉畸形的方法。动静脉瘘是后天性病变，由单一交通支组成。血管瘤是先天性病变，很少有搏动或伴有杂音；此外，通过血管造影，它们有多个小的供血动脉血管，组织学上由许多薄壁但外观正常的血管组成。动静脉畸形也是先天性的，但它们有搏动并伴有杂音；此外，在血管造影上，它们有一些较大的动脉供血血管，组织学上由异常发育不良的血管组成。所有病变的手术治疗都应仔细规划并实施。如果不完全切除，动静脉畸形和骨骼肌血管瘤有复发的倾向。
