脉管畸形的介入栓塞治疗进展

Interventional Management of Vascular Malformations

简要介绍脉管畸形的分类,以动静脉畸形、静脉畸形、淋巴管畸形治疗为重点,在破坏内皮细胞为目的的治疗理念下,介绍主流介入栓塞技术发展和无水乙醇、平阳霉素/博莱霉素、泡沫硬化剂、沙培林等常用硬化剂,并提出了笔者的观点与思考。结合经验和文献,总结了具体分型治疗操作要点、硬化剂用法及并发症预防。

We briefly reviewed the classification of vascular malformations, including arteriovenous malformation, venous malformation and lymphatic malformation. Vascular malformations are the result of continued disordered growth originating and controlled at the endothelial level. Based on this concept, We made several viewpoints and reviewed the development of current interventional management for vascular malformations. Main sclerosants were introduced,including ethanol, bleomycin （ A5 ） , foam sclerosants and OK-432. Based on experience and the key literature,subtype-based therapeutic technique tips and prevention of complications are summarized in this paper.