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关键词：头皮；血管畸形；动静脉畸形；外科治疗
摘要 目的：讨论有关头皮血管畸形的诊断和治疗问题。方法：32例头皮血管畸形经显微手术全切除。年龄6～59岁，14岁以下儿童11例，平均年龄28.4岁。畸形血管直径3～5cm11例，5～10cm 18例，大于10cm 3例。结果：经病理证实毛细血管畸形1例，海绵状血管瘤4例，动静脉畸形27例。32例随访12～40月，平均18月，未见复发。结论：头皮血管畸形属先天畸形，但也可能与头部外伤有关，本组4例有头部外伤史。本病以手术切除最为彻底。脑血管造影是确诊的重要手段。单纯颞浅动脉供血属普通型。脑膜中动脉和颈内动脉参与供血属复杂型。
Surgical treatment ofscalp vascular malformation Zhao Jizong, Wang Shuo, Zhou Dabiao, et al. Department of neurosurgery, Beijing Tian tan Hospital, Beijing 100050
Abstract Objective: To discuss thediagnosis and treatment of the scalp vascular malformation. Methods: 32 cases of scalpvascular malformation aged from 6 to 59 years old (average age is 28.4 years old, and 11cases below 14.) were all treated by microsurgical totally resection. 11 cases with thediameter of the malformed vessels 3 to 5cm, 18 cases with 5 to 10cm and 3 cases with over10cm. Results: 1 case of capillary malformation, 4 cases of cavernous hemangioma and 27cases of AVM were verified by postoperative pathological examination. With a follow up of12 to 40 months (mean 18 months), no recurrence was found. Conclusion: Scalp vascularmalformation belongs to congenital malformation, but may be associated with head trauma (4cases in this group). The best treatment was thorough removal with microsurgicaltechnique. This disease was classified into two types by angiogram: common type, feedingby superficial temporal artery; participating type, feeding by both middle meningialartery and internal carotid artery.
Key words Scalp Vascular malformation AVM Surgical treatment
我科自1994～1996年共收治头皮血管畸形32例 ......
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