頸部大型動靜脈血管畸形之手術治療－病例報告

動靜脈血管畸形之治療一向充滿挑戰與挫折感。治療的方式依據病灶的特性，範圍以及所侵犯的部位常有不同的選擇，姑息性的治療或不完全切除病變組織常造成復發或惡化使復績的治療步驟更加困難。本文報告一例發生於頸部大型動靜脈血管畸形合併心臟衰竭的病例，經手術結紮灌流血管，切除病變組織，並以闊背肌皮瓣及分層皮片移植重建傷口後經兩年之追蹤觀察結果。我們發現病患的心臟衰竭症狀明顯改善，體重增加。原殘存於病灶周圍之靜脈擴張現象逐漸消失，於追蹤期22個月內未見有病灶復發之跡象。

關鍵字

動靜脈血管畸形；闊背肌皮瓣

並列摘要

Arteriovenous malformation (AVM) is a congenital lesion of dysplastic vascular origin with large feeding arteries causing decreased vascular resistance. Surgical excision of a AVM may be indicated for cosmetic or some urgent complications, such as high output cardiac failure, bleeding or ulceration of the overlying skin. The high recurrence rate after excision and progressive nature often result in a frustration. We present a case of a massive AVM located at the neck. The lesion was excised and the bed was covered with latissimus dorsi muscle flap and skin graft. Although the followup period is not long enough for making conclusion, the result is encouraging after22months.

並列關鍵字

arteriovenous malformation ； latissimus dorsi muscle flap

國際替代計量

頸部大型動靜脈血管畸形之手術治療－病例報告

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