31例颈静脉扩张症的诊治体会  

Clinical diagnosis and treatment of jugular phlebectasia

作　　者：李冠华[1] 章伟[1] 郑康霞[1] 牟红艳[1] 

机构地区：[1]重庆三峡中心医院血管外科,重庆404000

出　　处：《现代生物医学进展》2009年第18期3509-3510,共2页Progress in Modern Biomedicine

摘　　要：目的:提高对颈静脉扩张症的认识,探讨临床诊断和治疗方法。方法:回顾性分析31例颈静脉扩张症的临床资料。经Val-salva试验、彩色超声和放射影像学检查,确定颈静脉扩张症的病变性质、程度和范围。治疗措施包括病灶切除术(6例)、颈静脉纵向缩缝术(14例)、颈静脉成型术(6例)、保守治疗(4例),上纵隔肿瘤患者1例转胸外科治疗。结果:经手术治疗的患者,均痊愈出院,无术后并发症。除1例肿瘤患者以外,全组病例随访6～62个月,平均26.2个月,健康状况良好。结论:先天性静脉发育异常是颈静脉扩张症最常见的病因。颈静脉扩张可长期存在而无症状。对影响美容、有临床症状的患者,早期手术是消除症状、达到美容目的的有效的治疗方法。Objective： To broaden the knowledge of jugular phlebectasia and discuss the clinical dmgnosis and treatment. Methods： Clinical data of 31 patients with iugularphlebectasia were reviewed. The confn＇mation of diagnosis in the nature, range and degree of jugular phlebectasia were got by Valsalva maneuver,color ultrasonography and enhancement radiologic techniques. The treatment included lesion resection（6）, longitudinal plication of phlebectasia（14）, veno- plasty（6）, observation only（4） and one patients with superior mediastinal tumor were transfer to the department of thoracic surgery. Results： Postoperatively the recoverv was uneventiul and no complication occurred in all operative patients. All of the patients excePtfor two patients with one the tumor did well during the follow-up period of6-6 2 months （mean 26.2 months）. Conclusions： The most common cause of jugular phlebectasia is congenital origin and the patients may has asymptomatic for a long time. Early operative treatment is best choice for the patient with prominent mass or intOlerant of symptom.

关 键 词：Valsalva试验 颈静脉扩张症 静脉瘤 静脉成型术 

分 类 号：R654.4[医药卫生—外科学]