体表海绵状静脉畸形临床病理研究  

A clinical pathological study on cavernous venous malformation of the body surface

作　　者：袁斯明[1] 欧阳天祥[1] 邢新[1] 倪灿荣[2] 郑唯强[2] 温萍[2] 

机构地区：[1]上海第二军医大学附属长海医院整形外科,200433 [2]上海第二军医大学附属长海医院病理科,200433

出　　处：《中华整形外科杂志》2003年第5期350-353,共4页Chinese Journal of Plastic Surgery

摘　　要：目的　探讨体表海绵状静脉畸形的临床病理联系。方法　对体表海绵状静脉畸形标本 4 2例行HE染色后观察其病理结构 ,并根据病史总结畸形患者的临床病理联系。结果　体表海绵状静脉畸形的发病无性别和左右差异 ,但有部位差异 ,如 :好发于头颈部 ,其次四肢、躯干部位最少 ;海绵状静脉畸形按病理结构可分为蜂窝型、沟渠型和混合型三种类型 ;畸形病理结构与临床表现具有一定联系。结论　海绵状静脉畸形发病解剖位差异的原因不清 ;畸形增长迅速、疼痛与畸形内出血和炎症反应有密切联系 ;三种类型畸形临床表现差异与病理结构有关。Objective To investigate the clinical pathology of cavernous venous malformations of the body surface. Methods Tissue samples of cavernous venous malformations from 42 cases were stained with hematoxylin and eosin to observe the pathologic structure. The clinical manifestations and case history were summarized accordingly. Results There was no distribution difference of the malformation in sex and body sides, but with obvious difference in anatomic sites. The malformation occurred most frequently at the head and neck, more frequently at extremities and least frequently at the trunk. According to pathologic structure, cavernous venous malformations of the body surface can be divided into three types: the cellular, the canaliform and the mixed. Conclusion The cause of distribution difference in anatomic sites remains unclear. Internal hemorrhage and infection may account for the increased growth and ache of the lesion. The different pathologic structure of the malformation may cause different clinical manifestations.

关 键 词：海绵状静脉畸形 体表静脉 病理特点 临床分型 炎症反应 

分 类 号：R654.4[医药卫生—外科学]