巨大的血管形侵入头骨:一个病例报告
Ming-Chen Xie1, Fu-Xu Wang1, Jian Xu2
1Department of Neurosurgery, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
World journal of clinical cases
|June 20, 2024
概括
头部和脸部的巨型血管形 (VMs) 是罕见的. 手术切除是复杂的,需要广泛的准备来管理风险并确保患者的康复,正如一个儿科病例所证明的那样.
科学领域:
- 血管外科 血管外科
- 儿科神经外科 儿科神经外科
- 医疗成像医学成像
背景情况:
- 血管形 (VMs) 是由于血管生成中的错误引起的,通常是先天性的,但并非总是在出生时显而易见.
- 头部和脸部的巨型虚拟机很少见,对手术结果的数据有限.
- 在这种情况下,手术干预的预后仍然不清楚.
研究的目的:
- 报告一个儿童病人的巨型血管形病例.
- 要突出与巨头和面部VMs相关的手术挑战和并发症的管理.
- 强调对手术干预进行彻底准备的重要性.
主要方法:
- 一个12岁的女孩的右头皮扩大了,接受了CT血管造影和脑血管造影.
- 对右叶VM和被侵蚀的头骨进行了手术切除.
- 手术后的腹膜下血瘤的管理需要紧急的外科疏散.
主要成果:
- 诊断成像显示了右动脉静脉形形与多个养血管.
- 患者在手术后出现了右下皮质血瘤,需要进行第二次手术.
- 经过手术和抗生素治疗后,患者康复良好,两周后退院.
结论:
- 手术切除巨型血管形与重大风险有关.
- 适当的手术前规划,包括干预栓塞,至关重要.
- 在复杂的VM病例中,全面的手术准备对于成功的手术结果至关重要.
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