Pappas D C, Persky M S, Berenstein A
Pappas Ear Clinic, Birmingham, Alabama, USA.
Ear Nose Throat J. 1998 Nov;77(11):914-6, 918-22.
Congenital venous vascular malformations of the head and neck are low-flow, nonproliferative lesions that should be distinguished from hemangiomas. The characteristic history and clinical findings can establish the diagnosis. Direct percutaneous puncture and contrast injection at the time of treatment delineate the lesion and its drainage pattern. Treatment must be individualized according to lesion extent, patient tolerance and physician experience. Sclerotherapy with ethanol has proved to be a successful treatment modality for these lesions, as demonstrated in this study of 57 patients. Surgery is used for treatment of clinically significant residual disease. A multidisciplinary approach to evaluation and treatment is key to successful management.
头颈部先天性静脉血管畸形是低流量、非增殖性病变，应与血管瘤相鉴别。典型的病史和临床表现可确立诊断。治疗时直接经皮穿刺并注入造影剂可明确病变及其引流模式。治疗必须根据病变范围、患者耐受性和医生经验进行个体化。正如这项对57例患者的研究所表明的，乙醇硬化治疗已被证明是治疗这些病变的一种成功方法。手术用于治疗具有临床意义的残留病变。多学科评估和治疗方法是成功管理的关键。
