人造血管包裹术治疗儿童颈内静脉扩张症

Diagnosis and treatment of jugular phlebectasia

目的：探讨颈内静脉扩张症的诊断和治疗。方法：1990～2004年，37例患儿通过查体及超声检查获得诊断并应用人造血管包裹扩张静脉段进行治疗。结果：所有病例均治愈。无复发及并发症。结论：体格检查结合超声检查是诊断颈内静脉扩张症简单有效的方法。包裹法治疗颈内静脉扩张症，不必切开静脉也不切除血管，创伤小，包裹后血管保留一定直径，血液回流通畅，符合生理。平均随访8年，疗效可靠。

Objective：To study the diagnosis and treatment of jugular phlebectasia. Methods：From 1990 to 2004, 37 patients were confirmed as jugular phlebectasia by physical examination and ultrasound. The patients were treated surgically by wrapping and narrowing the diameter of internal jugular veins （IJV） to normal with vascular graft. Results： All patients were cured. After 8 years follow-up, no recurrence and complication were noted. Conclusions：Jugular phlebectasia can be confirmed with physical examination and ultrasound. The procedure of internal jugular vein wrapped and narrowed with vascular graft is simple and effective.