[1]白三莉,莫雪红,张少杰,等.先天性头皮动静脉瘘6例诊治分析[J].中国临床神经外科杂志,2022,27(10):816-818.[doi:10.13798/j.issn.1009-153X.2022.10.005]
 BAI San-li,MO Xue-hong,ZHANG Shao-jie,et al.Diagnosis and treatment of congenital scalp arteriovenous fistulas: report of 6 cases and literature review[J].,2022,27(10):816-818.[doi:10.13798/j.issn.1009-153X.2022.10.005]
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先天性头皮动静脉瘘6例诊治分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年10期
页码:
816-818
栏目:
论著
出版日期:
2022-10-31

文章信息/Info

Title:
Diagnosis and treatment of congenital scalp arteriovenous fistulas: report of 6 cases and literature review
文章编号:
1009-153X(2022)10-0816-03
作者:
白三莉莫雪红张少杰刘洋潘思源杨铭马廉亭赵曰圆潘力
430070武汉,中国人民解放军中部战区总医院神经外科(白三莉、莫雪红、张少杰、刘洋、潘思源、杨铭、马廉亭、赵曰圆、潘力)
Author(s):
BAI San-li MO Xue-hong ZHANG Shao-jie LIU Yang PAN Si-yuan YANG Ming MA Lian-ting ZHAO Yue-yuan PAN Li
Department of Neurosurgery, General Hospital of Central Theater Command, PLA, Wuhan 430070, China
关键词:
头皮动静脉瘘显微手术DSA彩色多普勒超声CTA
Keywords:
Congenital scalp arteriovenous fistulas Microsurgery Diagnosis Treatment DSA Color Doppler ultrasound CTA
分类号:
R743
DOI:
10.13798/j.issn.1009-153X.2022.10.005
文献标志码:
A
摘要:
目的 探讨头皮动静脉瘘的诊断及治疗方法。方法 回顾性分析2010年12月至2021年12月收治的6例先天性头皮动静脉瘘的临床资料。结果 6例均经DSA确诊为头皮动静脉瘘,其中5例行手术切除后完全治愈,1例经超声定位、局部压迫瘘口后症状消失。术后随访3个月~4年,复查血管彩色多普勒超声、CTA或DSA,未发现复发。结论 DSA是诊断头皮动静脉瘘的金标准,彩色多普勒超声在术前诊断、术中仔细识别血管构筑特征、术后复查有重要作用。手术阻断供血动脉、灼闭瘘口是首选治疗方法,皮瓣设计要考虑术后头皮血供。
Abstract:
Objective To summarize the experience in the diagnosis and treatment of congenital scalp arteriovenous fistulas. Methods The clinical data of 6 patients with congenital scalp arteriovenous fistula who were admitted to our hospital from December 2010 to December 2021 were retrospectively analyzed. Results All the 6 patients were diagnosed as scalp arteriovenous fistula by DSA. Of these 6 patients, 5 patients were completely cured by surgical resection, and 1 by local compression of the fistula using ultrasound localization. All patients were followed up for 3 months to 4 years. Reexamination of color Doppler ultrasound, CTA or DSA showed no recurrence. Conclusions DSA is the gold standard for the diagnosis of scalp arteriovenous fistulas. Color Doppler ultrasound plays an important role in preoperative diagnosis, intraoperative identification of vascular architecture characteristics and postoperative follow-up. Surgical occlusion of the feeding artery and cauterization of the fistula are the preferred treatment methods. The postoperative scalp blood supply should be considered when designing the flap before operation.

参考文献/References:

[1]Zheng J, Guo Z, Zhang X, et al. Intravascular embolization versus surgical resection for patients with scalp arteriovenous fistula [J]. Chin Neurosurg J, 2019, 5: 3.
[2]张文凯,于淑花. 头皮动静脉畸形的手术治疗体会[J]. 佳木斯医学院学报,1995,24(6):59-60.
[3]Abaunza-Camacho JF, Vergara-Garcia D, Perez F, et al. Emergent hybrid treatment of a ruptured scalp arteriovenous fistula with eyelid involvement: technical note [J]. J Neurol Surg A Cent Eur Neurosurg, 2021, 82(5): 490-493.
[4]Champeaux C, Jecko V, Penchet G, et al. Scalp arteriove-nousfistula following hair transplantation [J]. Clin Neuroradiol, 2014, 24(3): 285-288.
[5]Dalyai RT, Schirmer CM, Malek AM. Transvenous balloon-protected embolization of a scalp arteriovenous fistula using Onyx liquid embolic [J]. Acta Neurochir (Wien), 2011, 153(6): 1285-1290.
[6]刘海兵,洪景芳,魏梁锋,等. 介入栓塞联合显微手术治疗头皮大型动静脉畸形2例并文献复习[J]. 中国微侵袭神经外科杂志,2017,22(9):411-413.
[7]Hage ZA, Few JW, Surdell DL, et al. Modern endovascular and aesthetic surgery techniques to treat arteriovenous malformations of the scalp: case illustration [J]. Surg Neurol, 2008, 70(2): 198-203.

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备注/Memo

备注/Memo:
(2022-04-28收稿,2022-07-20修回)
通讯作者:赵曰圆,E-mail:303228280@qq.com
潘 力,E-mail:plainfat@163.com
更新日期/Last Update: 2022-11-30