Loose D A
Department of Angiology and Vascular Surgery, Surgical Clinic Jürgensallee, Hamburg, Germany.
Semin Vasc Surg. 1993 Dec;6(4):260-5.
Congenital AV shunting defects are not as rare as sometimes presumed, and they are four times more frequent in girls than in boys. Inadequate treatment can aggravate the patient's complaints by increasing the circulatory disturbance in the affected region. As a result, ischemic ulceration may develop. Special, usually interdisciplinary, treatment of such findings is mandatory. When AV communications are present, the combined treatment of surgical and nonsurgical techniques must be considered. Location and pathoanatomic type influence this choice. Clinical, functional, and hemodynamic parameters must also be evaluated in order to decide the optimal combination of therapeutic measures. Usually several phases of treatment are necessary.
先天性动静脉分流缺陷并不像有时认为的那样罕见，女孩的发病率是男孩的四倍。治疗不当会增加患区的循环障碍，从而加重患者的不适。结果可能会发展为缺血性溃疡。对此类病症必须进行特殊的、通常是多学科的治疗。当存在动静脉交通时，必须考虑手术和非手术技术的联合治疗。位置和病理解剖类型会影响这种选择。还必须评估临床、功能和血流动力学参数，以确定治疗措施的最佳组合。通常需要几个治疗阶段。
