肌肉内静脉畸形的诊断及治疗.

Objective To explore the clinical features and treatment method of intramuscular venous malformation (IMVM). Methods The clinical data of 66 patients with IMVM from January 2012 to December 2021 were retrospectively analyzed. There were 41 males and 25 females, aged from 4 to 61 years old. All patients underwent ultrasound, X-ray, MRI and CT examination. The clinical features, imaging and pathological diagnosis points were summarized. Results The lesions in 7 patients underwent surgical resection were basically cleared, and the effective rate was 100% (7/7). The effective rate of 47 patients underwent sclerotherapy was 82.98% (39/47). The effective rate of 12 patients underwent indwelling copper wire combined with sclerotherapy was 100% (12/12). All lesions were significantly atrophied. There were no serious complications occurred during or after treatment. Conclusion The clinical manifestations of IMVM are atypical, so the imaging examinations are the basis of diagnosis. It is difficult to clear the lesions completely so that controlling the progression and reserving the function are the therapeutic goal of most IMVM. [ABSTRACT FROM AUTHOR]