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. 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 Bin2*, NING Yachan2*, YU Xueyuan2, WANG Chunmei2   

  1. 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: 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

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