肌内静脉畸形的影像学观察:单中心回顾性分析

Imaging features of intramuscular venous malformations:A single-center retrospective study

目的回顾肌内静脉畸形的影像学特征,探讨影像学检查结果对治疗方法选择和实施的指导意义。方法回顾性分析2006年1月至2021年12月,南京大学医学院附属金陵医院(东部战区总医院)烧伤整形科收治的67例肌内静脉畸形患者的一般资料、临床表现、影像学检查结果,对各影像学检查方法分类评价,总结肌内静脉畸形的诊断要点,根据影像学特征提出个性化治疗策略。结果本组67例肌内静脉畸形,其中男性43例。患者以疼痛、肿胀、肢体活动障碍为主诉就诊。采用的影像学检查包括超声、MRI/MRA、X线、CT/CTA/CTV、经皮穿刺造影CT扫描三维成像等。上述检查方法能显示静脉畸形病灶部位和形态、骨质侵犯情况、回流特征、血流动力学特征等,从而有效指导个体化治疗策略的制定。结论肌内静脉畸形的诊断依赖于全面准确的影像学检查,检查结果对选择合适治疗方法、合理实施治疗、避免并发症、提高治疗效果有指导意义。

Objective To review the imaging features of intramuscular venous malformations(IMVMs)and to explore the guiding significance of imaging findings for the selection and implementation of treatment methods.Methods From January 2006 to December 2021,67 patients with IMVMs were treated in our department.The general data,clinical manifestations and imaging findings of the patients were retrospectively analyzed.The imaging methods were classified and evaluated,and the main diagnostic points of IMVMs were summarized.Individualized treatment strategies were proposed according to imaging features.Results A total of 67 patients were included in this study,including 43 males.The patient complained of pain,swelling and limb dysfunction.The imaging examinations used included ultrasound,MRI/MRA,X-ray,CT/CTA/CTV,percutaneous angiography and three-dimensional CT imaging,etc.The above examination methods can show the location and morphology of the venous malformations,bony changes,draining features,hemodynamic characteristics,etc.,so as to effectively guide the formulation of individual treatment strategies.Conclusion The diagnosis of IMVMs depends on comprehensive and accurate imaging examinations,and the examination results are of guiding significance for the selection of appropriate treatment methods,the reasonable implementation of treatment,the avoidance of complications and the improvement of treatment effect.