Surgical treatment for intramuscular venous malformation combined with nerve and tendon encapsulated
10.3760/cma.j.issn.1009-4598.2019.04.009
- VernacularTitle: 神经肌腱及其周围肌内静脉畸形的手术治疗
- Author:
Dakan LIU
1
;
Li XIAO
;
Yubin GONG
;
Changxian DONG
Author Information
1. Department of Hemangioma Surgery in Henan Provincial People′s Hospital, Zhengzhou 450003, China
- Publication Type:Clinical Trail
- Keywords:
Intramuscular venous malformation;
Nerve;
Tendon;
Surgery treatment
- From:
Chinese Journal of Plastic Surgery
2019;35(4):371-375
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aims (1) to evaluate the surgical outcome of intramuscular venous malformations, and associated nerve and tendon encapsulated; (2) to summarize the surgical procedure, with the purpose of providing individualized surgical treatment.
Methods:This is a retrospective study of 114 patients of intramuscular venous malformations with associated nerve and tendon encapsulated. All the patients were admitted in the Henan Provincial People′s Hospital from January 2012 to December 2014. The surgeries were produced, according to the patient′s condition. The surgical outcome was evaluated after 1-3 years follow up, by the overall evaluation of radiological imaging, symptoms and functions of limbs. The evaluation criteria: (1) Invalid: clinical symptoms or radiological imaging showed no improvement or even worsen; (2) Improvement: clinical symptoms or radiological imaging was significantly improved; (3) Cure: clinical symptoms were gone or the radiological imaging was normal.
Results:All the 114 patients were followed up for 1-3 years, with the average of 1.8 years. Three cases were evaluated as invalid, 26 cases were improved, and 85 cases were cured. The effective rate was 97%, and the cure rate was 75% on 1 year after surgery.
Conclusions:It is difficult to treat intramuscular venous malformations as it often involves nerve and tendon. Universal treatment is few. Therefore, an individualized surgical plan is recommendable.
