Hurwitz D J, Kerber C W
Plast Reconstr Surg. 1981 Apr;67(4):421-34. doi: 10.1097/00006534-198104000-00001.
Our diagnostic and therapeutic approach to arteriovenous malformation is based on the available knowledge of the hemodynamics of these lesions. Four cases are presented. One demonstrates the deleterious effects of proximal vessel ligation. Two cases are treated with flow-controlled embolization, wide excision, and axial flap coverage of the defect with no recurrence on physical examination at more than 2 years. The final case illustrates a relatively small arteriovenous malformation that replaced one-half of the lower lip and chin. An extensive resection is done and the defect is reconstructed with an innervated and well-vascularized neck flap.
我们对动静脉畸形的诊断和治疗方法基于对这些病变血流动力学的现有认识。本文介绍了4例病例。1例显示了近端血管结扎的有害影响。2例采用流量控制栓塞、广泛切除及轴向皮瓣覆盖缺损进行治疗，体格检查显示超过2年无复发。最后1例为相对较小的动静脉畸形，累及下唇和下巴的一半。进行了广泛切除，并采用带神经支配且血运良好的颈部皮瓣重建缺损。
