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口腔颌面部动静脉畸形的手术治疗

Surgical treatment of 12 cases of arteriovenous malformations of oral and maxillofacial region

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【作者】 吴丽芬孙艳芳刘冰赵怡芳

【Author】 WU Li-fen;SUN Yan-fang;LIU Bing;ZHAO Yi-fang;The Oral and Maxillofacial Surgery Department of School of Stomatology,Wuhan University;

【机构】 武汉大学口腔医学院口腔颌面头颈肿瘤外科

【摘要】 目的:探讨手术切除方法治疗口腔颌面部动静脉畸形的临床效果。方法:2008年1月~2015年6月对12例口腔颌面部动静脉畸形行病变完整切除术。2例弥散型软组织动静脉畸形患者术前行栓塞治疗。结果:12例患者中软组织动静脉畸形6例,局灶型4例,弥散型2例。颌骨动静脉畸形6例,其中5例为下颌骨动静脉畸形。随访时间2.5年~10年,平均6.2年,均无复发。治疗后所有患者局部肿胀消退、搏动感消失,面颈部外形明显改善。结论:外科手术治疗是治疗口腔颌面部动静脉畸形的有效方法。

【Abstract】 Objective: To explore the curative effect of surgical treatment for arteriovenous malformations( AVMs) of oral and maxillofacial region. Methods: From January 2008 to June 2015,complete resection for 12 cases of arteriovenous malformations in oral and maxillofacial region was undertaken. Preoperative embolization was done in two diffuse lesions. Results: In 6 cases of the surgical treated AVMs of soft tissue lesions,four were focal lesion and two were diffuse lesion. Six cases were intraosseous AVMs of the jaws,including 5 cases in the mandible and one in the maxilla. No recurrence with median follow-up of 6. 2 years. Patients were satisfied with the appearance improvement. Conclusion: Surgical treatment still plays an important role in the treatment of arteriovenous malformations of oral and maxillofacial region.

【基金】 国家自然科学基金青年科学基金项目(81500379)
  • 【文献出处】 临床口腔医学杂志 ,Journal of Clinical Stomatology , 编辑部邮箱 ,2018年06期
  • 【分类号】R782
  • 【被引频次】6
  • 【下载频次】182
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