周围动静脉畸形的影像学诊断及治疗进展

Progress of imaging diagnosis and treatment for Peripheral arteriovenous malformations

周围动静脉畸形(Peripheral arteriovenous malformations(pAVMs))是一种高流量的先天血管畸形,在脉管畸形中被视为最危险的一种。目前主要的影像学诊断方式有超声、DSA、CTA与MRA;DSA是诊断周围动静脉畸形的金标准。临床上患者常由于外观畸形、局部疼痛及功能问题而寻求治疗。动静脉畸形治疗困难,复发率高,现在仍然是困扰临床医生的一大难题。目前对于周围动静脉畸形有许多不同的治疗方案,包含介入栓塞、外科手术、经皮硬化与激光治疗。本文目的是通过回顾相关文献,对周围动静脉畸形的主要影像学诊断和治疗方案进行综述。

Peripheral arteriovenous malformations(pAVMs)are high-flow congenital vascular malformations,which are regarded as the most dangerous of vascular malformations.The current main imaging diagnostic methods include ultrasound,DSA,CTA and MRA;DSA is the gold standard for the diagnosis of peripheral arteriovenous malformations.Clinically,patients often seek treatment due to appearance malformations,local pain and functional problems.Arteriovenous malformations are difficult to treat,and the recurrence rate is high.It is still a major problem for clinicians.Difficult problem.At present,there are many different treatment options for peripheral arteriovenous malformations,including interventional embolization,surgery,percutaneous sclerotherapy and laser treatment.The purpose of this article is to review relevant literature and provide the main imaging diagnosis and treatment options for peripheral arteriovenous malformations.Conduct an overview.