周围软组织血管瘤和血管畸形复发原因探讨

Recurrent reasons of peripheral hemangiomas and vascular malformations

目的 探讨软组织血管瘤和血管畸形术后复发原因。方法 对102例血管瘤和血管畸形术后又出现病变的部位、磁共振血管成像表现（MRA）、手术、病理进行分析。结果 手术部位复发57例，近手术部位出现病变41例，另一部位出现病变4例：46例MRA中14例显示深静脉畸形，100例血管细胞无增生，其中8例术中可见血流压力高。2例血管细胞增生。结论 血管畸形复发原因是病变范围广手术不易彻底切除，动静脉瘘另一复发原因是动眯血冲击性灌注；中间性血管瘤复发原因是血管肿瘤细胞增生。

Objective To study recurrent reasons of peripheral hemangiomas and vascular malformations. Methods Analyzed pathological changes positions,MRA findings, the operation findings, the pathological results of peripheral hemangiomas and vascular malformations in 102 patients whose pathological changes recured after operation. Results In 102 cases with peripheral hemangiomas and vascular malformations,57 cases recured in operational position,46 cases recured in approach operational position,4 cases recured in operational separate position. 14 cases showed deep vein vascular malformations in 46 cases magneth resonance angioqra-phy（MRA）. There was no proliferated vascular cells and 8 cases showed high blood pressure in operation in 100 cases,there were proliferated vascular cells in 2 cases. Conclusion Recurrent reason of peripheral vascular malformations was extensive pathological changes scope can not been operated completely, Another recurrent reason of arteriovenous fistulae was arterial blood lashed pathological changes. Recurrent reason of peripheral intermediary character hemangiomas was vascular tumeur cells proliferated.