静脉外膜囊性疾病的诊断与治疗

doi:10.16352/j.issn.1001-6325.2024.07.0921

基础医学与临床 ›› 2024, Vol. 44 ›› Issue (7): 921-924.doi: 10.16352/j.issn.1001-6325.2024.07.0921

• 特邀专题：静脉血栓栓塞症 • 上一篇下一篇

静脉外膜囊性疾病的诊断与治疗

张妍祺¹, 闫彬^2*, 宁雅婵^2*, 余雪渊², 王春梅²

1.首都医科大学临床医学系,北京 100069;
2.首都医科大学宣武医院重症医学科,北京 100053

收稿日期:2024-04-22 修回日期:2024-05-20 出版日期:2024-07-05 发布日期:2024-06-26
通讯作者: ^*jnyanbin@vip.qq.com; nychan179@163.com
基金资助:
首都卫生发展科研专项(首发2022-2-2016)

Diagnosis and treatment of venous adventitial cystic disease

ZHANG Yanqi¹, YAN Bin^2*, NING Yachan^2*, YU Xueyuan², WANG Chunmei²

1 Department of Clinical Medicine, Capital Medical University, Beijing 100069;
2 Department of Critical Care Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China

Received:2024-04-22 Revised:2024-05-20 Online:2024-07-05 Published:2024-06-26
Contact: ^*jnyanbin@vip.qq.com; nychan179@163.com

摘要/Abstract

摘要： 静脉外膜囊性疾病(VACD)是一种罕见的血管疾病,主要表现为单侧肢体肿胀,且常常误诊为深静脉血栓形成等其他疾病。彩色多普勒超声、CT血管造影和磁共振成像在VACD的诊断中发挥着重要作用。外科手术是VACD的主要治疗方法,包括囊肿切开、囊壁切除、囊肿穿刺抽液、囊肿及血管切除等。尽管如此,VACD的复发率较高,可达20%~83%。提高对VACD的认识,做出正确诊断,选择合理的手术方式,对提高治疗效果和降低复发率具有重要意义。

关键词: 静脉外膜囊性疾病, 深静脉血栓形成, 静脉血栓症, 血管囊肿

Abstract: Venous adventitial cystic disease (VACD) is a rare vascular disease which often manifests as unilateral limb swelling, and so misdiagnosed as other diseases such as deep vein thrombosis. Color Doppler ultrasound, CT angiography and magnetic resonance imaging play a crucial role in the diagnosis of VACD. Surgical treatment is the main method for VACD, including cyst incision, cyst wall resection, cyst puncture, aspiration and cyst and vessel resection. The recurrence rate of VACD is relatively high, ranging from 20% to 83%. Enhancing the understanding of VACD, making accurate diagnoses and appropriate surgical operation are of great significance for improving treatment outcomes and reducing the recurrence rate.

Key words: venous adventitial cystic disease, deep vein thrombosis, venous thromboembolism, vascular cyst

中图分类号:

R654.4

张妍祺, 闫彬, 宁雅婵, 余雪渊, 王春梅. 静脉外膜囊性疾病的诊断与治疗[J]. 基础医学与临床, 2024, 44(7): 921-924.

ZHANG Yanqi, YAN Bin, NING Yachan, YU Xueyuan, WANG Chunmei. Diagnosis and treatment of venous adventitial cystic disease[J]. Basic & Clinical Medicine, 2024, 44(7): 921-924.

参考文献

[1]Bascone C, Iqbal M, Narh-Martey P, et al. Venous adventitial cystic disease: a review of 45 cases treated since 1963[J]. Int J Vasc Med, 2016, 2016:5287697.doi:10.1155/2016/5287697.
[2]Levien LJ, Benn CA. Adventitial cystic disease: a unifying hypothesis[J]. J Vasc Surg, 1998, 28: 193-205.
[3]吴小雨, 张健, 姜波,等. 股静脉外膜囊肿三例[J]. 中华外科杂志, 2013, 51: 863.
[4]Atkins HJ, Key JA. A case of myxomatous tumour arising in the adventitia of the left external iliac artery; case report[J]. Br J Surg, 1947, 34: 426.
[5]Mentha C. La d'eg'en'erescence mucouide des veines [mucoid degeneration of veins][J]. J Cardiovasc Surg (Torino). 1963, 4: 591-594.French.
[6]Dix FP, McDonald M, Obomighie J, et al. Cystic adventitial disease of the femoral vein presenting as deep vein thrombosis: a case report and review of the literature[J]. J Vasc Surg, 2006, 44: 871-874.
[7]Yoshii S, Ikeda K, Murakami H. Cystic, myxomatous adventitial degeneration of a saphenous vein[J]. J Vasc Surg, 1998, 27: 780-782.
[8]Lie JT, Jensen PL, Smith RE. Adventitial cystic disease of the lesser saphenous vein[J]. Arch Pathol Lab Med. 1991, 115: 946-948.
[9]Jones DW, Rezayat C, Winchester P, et al. Adventitial cystic disease of the femoral vein in a 5-year-old boy mimicking deep venous thrombosis[J]. J Vasc Surg, 2012, 55: 522-524.
[10]孙晓峰, 孙明莉, 王小丛,等. 血管壁外膜囊肿4例报告[J]. 中国临床医学影像杂志, 2009, 20: 75-76.
[11]Kawarai S, Fukasawa M, Kawahara Y. Adventitial cystic disease of the popliteal artery[J]. Ann Vasc Dis, 2012, 5: 190-193.
[12]邓玉云, 侯铁, 李宏儒,等. 腘动脉外膜囊肿的影像学表现[J]. 中国临床研究, 2015, 28: 1368-1371.
[13]Seo JY, Chung DJ, Kim JH. Adventitial cystic disease of the femoral vein: a case report with the CT venography[J]. Korean J Radiol, 2009, 10: 89-92.
[14]Wiwanitkit V. Cystic adventitial disease and high spatial resolution magnetic resonance imaging[J]. Ann Vasc Surg, 2012, 26: 443.doi:10.1016/j.avsg.2011.03.022.
[15]Loffroy R, Rao P, Krausé D, et al. Use of 3.0-Tesla high spatial resolution magnetic resonance imaging for diagnosis and treatment of cystic adventitial disease of the popliteal artery[J]. Ann Vasc Surg, 2011, 25: 385.e5-385.e10.
[16]Elias DA, White LM, Rubenstein JD, et al. Clinical evaluation and MR imaging features of popliteal artery entrapment and cystic adventitial disease[J]. AJR Am J Roentgenol, 2003, 180: 627-632.
[17]O′Loghlen S, Hall GJ, Zeiadin N, et al. Adventitial cystic disease of the common femoral vein-a rare mimic of deep venous thrombosis: a case report[J]. Ann Intern Med, 2016, 165: 75-76.
[18]Chen Y, Sun R, Shao J, et al. A contemporary review of venous adventitial cystic disease and three case reports[J]. Phlebology, 2015, 30: 11-16.
[19]Ann JH, Kim JH, Byun SS, et al. Percutaneous ethanol sclerotherapy for recurrent adventitial cystic disease of external iliac vein after surgical treatment: a case report[J]. J Korean Soc Radiol, 2015, 73: 384-388.
[20]Sugimoto T, Yamamoto K, Tanaka S, et al. Adventitial cystic disease of the femoral vein: report of a case[J]. Surgery Today, 2004, 34: 286-288.
[21]Michaelides M, Papas S, Pantziara M, et al. High spatial resolution MRI of cystic adventitial disease of the iliofemoral vein communicating with the hip joint[J]. Cardiovasc Intervent Radiol, 2014, 37: 271-274.
[22]Park KM, Park YJ, Yang SS, et al. Two cases of adventitial cystic disease of the external iliac vein[J]. Ejves Extra, 2013, 26: e34-e35.
[23]Gasparis AP, Wall P, Ricotta JJ. Adventitial cystic disease of the external iliac vein presenting with deep venous thrombosis:a case report[J]. Vasc Endovascular Surg, 2004, 38: 273-276.
[24]Johnson JM, Kiankhooy A, Bertges DJ, et al. Percutane-ous image-guided aspiration and sclerosis of adventitial cystic disease of the femoral vein[J]. Cardiovasc Intervent Radiol, 2009, 32: 812-816.

静脉外膜囊性疾病的诊断与治疗

Diagnosis and treatment of venous adventitial cystic disease

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 2

编辑推荐

Metrics

本文评价

[1]	孙艺玮姜维良. 内皮祖细胞与肢体缺血疾病的研究现状[J]. 基础医学与临床, 2014, 34(2): 266-269.
[2]	李天佳刘暴倪冷来志超吴立飞刘昌伟. 巨噬细胞增强H2O2抑制人血管内皮细胞和兔血管平滑肌细胞的增殖[J]. 基础医学与临床, 2013, 33(7): 849-853.