Evaluation and Treatment of Head and Neck Venous Vascular Malformations
Evaluation and Treatment of Head and Neck Venous Vascular Malformations
复制标题
头颈静脉血管畸形的评估和治疗
DOI：
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发表时间：
1998
期刊：
影响因子：
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通讯作者：
A. Berenstein
中科院分区：
文献类型：
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作者：
Dennis C. Pappas;M. Persky;A. Berenstein
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。特征性病史和临床表现可以明确诊断。治疗时直接经皮穿刺和造影剂注射勾画病变及其引流模式。治疗必须根据病变程度、患者耐受性和医生经验进行个体化。正如这项针对 57 名患者的研究所证明的那样，乙醇硬化疗法已被证明是治疗这些病变的成功方法。手术用于治疗有临床意义的残留病灶。多学科的评估和治疗方法是成功管理的关键。
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.