先天性动静脉瘘治疗的研究进展

Progress in Treatment of Congenital Arteriovenous Fistula

先天性动静脉瘘为血管发育缺陷畸形,随着年龄增长而增长。经导管动脉介入栓塞术是该病的主要治疗方法,常用的栓塞材料有聚乙烯醇泡沫微粒、明胶海绵、微弹簧圈及球囊、二氰基丙烯酸对丁酯等。经皮穿刺瘤腔内药物硬化治疗是病变无法彻底清除或难以手术患者的首选方案,局限型先天性动静脉瘘患者可首选手术切除。现对其常用治疗方法、栓塞材料及硬化剂予以综述。

The congenital arteriovenous fistula is a defect and deformity disease in vascular development,the incidence of which increases with ages.The transcatheter arterial embolization is the main method for treatment of congenital arteriovenous fistula,and the routine embolic material include foam particles made from polyvinyl alcohol,sponge of gelatin,micro coil,balloon,2-Propenoic acid,2-cyano-,butyl ester and etc.Percutaneous endovascular injection of drug sclerosis is the preferred option for the patients with lesions that can not be completely removed or not fit for operation.Surgery is the first option for localized congenital arteriovenous fistula.The present article summarize the routine treatment methods,embolic material and hardening agent.