Rettori R
Phlebologie. 1980 Jan-Mar;33(1):79-87.
The author presents 4 cases of angiodysplasia of the hand. The first is an angioma of the thumb, with active arteriovenous communications, leading the author to analyze the difficulties inherent in the surgical treatment of cirsoid aneurysms. The second is a limited digital arteriovenous angioma, this group being easily operable. The remaining two are extensive angiomas, one treated by embolization followed by sclerosis of the remaining venous lakes, and the other by embolization followed by surgical removal of the part of the angioma which was not collapsed. These cases demonstrate the major value of embolization. This prepares for and facilitates surgery, and, alone or associated with surgery, now permits a lasting cure of this type of lesion while avoiding the risks of surgical treatment alone.
作者介绍了4例手部血管发育异常病例。第一例是拇指血管瘤，伴有活跃的动静脉交通，这使作者分析了蔓状动脉瘤手术治疗中固有的困难。第二例是局限性指端动静脉血管瘤，这一组易于手术。其余两例是广泛性血管瘤，一例先进行栓塞，然后对残留的静脉湖进行硬化治疗，另一例先进行栓塞，然后手术切除未塌陷的血管瘤部分。这些病例证明了栓塞的重要价值。它为手术做准备并便于手术，而且，单独使用或与手术联合使用，现在可以持久治愈这类病变，同时避免单纯手术治疗的风险。
