下肢血管畸形的手术治疗_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

唐军 , 张艳阁 , 黄建琼 , 孟凡军 ,  岑瑛 ,  许学文

四川大学华西医院美容整形-烧伤外科（成都 610041）;

Corresponding author：

岑瑛, Email: cenying835@163.com; 许学文, Email: xxw_0826@163.com

Keywords：

下肢血管畸形; 手术治疗; 动脉栓塞

DOI：

10.7507/1002-1892.201612040

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目的总结下肢血管畸形的手术方法及疗效。方法 2012 年 7 月—2015 年 7 月，收治下肢血管畸形患者 138 例。男 51 例，女 87 例；年龄 3～55 岁，平均 28.3 岁。静脉畸形 98 例，动静脉畸形 40 例。病变部位：臀部 24 例，大腿 30 例，臀部及大腿 23 例，小腿 35 例，大腿及小腿 9 例，累及整个下肢 17 例。其中 106 例行单纯手术切除，32 例行术前髂外动脉球囊栓塞+手术切除。结果术后 4 例植皮区发生部分皮片坏死，经换药后 Ⅱ 期愈合；余患者皮瓣及移植皮片均顺利成活，创面及供区切口均 Ⅰ 期愈合。患者均获随访，随访时间 4 个月～3 年，平均 18 个月。手术治愈率 84.8%（117/138）。复发患者均给予局部注射鱼肝油酸钠后，无再次复发。结论在严格掌握手术指征前提下，单纯手术切除或联合术前髂外动脉球囊栓塞可有效治疗下肢血管畸形。

Citation： 唐军, 张艳阁, 黄建琼, 孟凡军, 岑瑛, 许学文. 下肢血管畸形的手术治疗. Chinese Journal of Reparative and Reconstructive Surgery, 2017, 31(5): 638-640. doi: 10.7507/1002-1892.201612040 Copy

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1. Mulliken JB, Glowacki J. Hemangiomas and vascular malformations in infants and children: a classification bassed on endothelial characteristics. Plast Reconstr Surg, 1982, 69(3): 412-422.
2. Raveh E, Waner M, Kornreich L, et al. The current approach to hemangiomas and vascular malformations of the head and neck. Harefuah, 2002, 141(9): 783-789.
3. De Minteguiaga C, Casasco A, Guimaraens L, et al. Hemangiomas and superficial vascular malformation of the fac and neck. An Otorrinolaringol Ibero Am, 2002, 29(6): 573-591.
4. Spencer SA, Sorger J. Orthopedic issues in vascular anomalies. Semin Pediatr Surg, 2014, 23(4): 227-232.
5. Waner M, O TM. The role of surgery in the management of congenital vascular anomalies. Tech Vasc Interv Radiol, 2013, 16(1): 45-50.
6. Madani H, Farrant J, Chhaya N, et al. Peripheral limb vascular malformations: an update of appropriate imaging and treatment options of a challenging condition. Br J Radiol, 2015, 88(1047): 20140406.
7. Rosen RJ, Nassiri N, Drury JE. Interventional management of high-flow vascular malformations. Tech Vasc Interv Radiol, 2013, 16(1): 22-38.
8. Maksimovic Z, Maksimovic M, Maksimovic M, et al. Second look at congenital vascular malformations: current classification, diagnostic and treatment principles. Int Angiol, 2013, 32(4): 424-432.

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下肢血管畸形的手术治疗

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