海绵状静脉畸形自发栓塞5例暨文献回顾  

Literature review of spontaneous embolism from cavernous venous malformations

作　　者：袁斯明[1] 姜会庆[1] 汪军[1] 洪志坚[1] 欧阳天祥[2] 

机构地区：[1]南京军区南京总医院烧伤整形科,江苏南京210002 [2]上海交通大学医学院附属新华医院整形外科

出　　处：《中国美容整形外科杂志》2008年第3期198-200,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的总结海绵状静脉畸形自发栓塞的临床表现,并探讨其临床意义。方法自2003年2月至2006年5月,收治海绵状静脉畸形自发栓塞的患者共5例。经采集病史,行彩色多普勒、DSA等检查后,均行瘤体切除术。术后将标本送病理检查。结果术前5例患者均有瘤体疼痛、肿胀、增长加速等病史,彩色多普勒检查提示瘤体内血栓形成,DSA检查瘤体显影不完全;术中见瘤体内有大量血栓;术后病理检查亦证实瘤体内有大量血栓形成。结论瘤体疼痛、肿胀、增长加速等现象是海绵状静脉畸形自发出血及栓塞的临床表现,应早期诊断,尽快治疗。Objective To summarize the manifestations of spontaneous embolism from cavernous venous malformations and discuss their clinical significance. Methods From February 2003 to May 2006, 5 individuals with spontaneous embolism from cavernous venous malformations were enrolled as patients in our department. We excised the malformation and sent the specimens for pathologic examination after reviewing their medical history, and performing color Doppler and DSA examination. Results All of these patients had experienced ache, tumescence and rapid enlargement of these malformations. The color Doppler showed that there were thromboses in the malformations. In the DSA images, the visualization of malformations were incomplete. Many thromboses were found in the malformations during the operation and these were confired by pathologic examination postoperatively. Conclusion The ache, tumescence and rapid enlargement of these malformations may be the primary manifestation of spontaneous hemorrhage and embolism from cavernous venous malformations, which need treatment as soon as possible.

关 键 词：海绵状静脉畸形 血栓形成 诊断学 

分 类 号：R654[医药卫生—外科学]