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目的 探讨静脉畸形骨肥大综合征影像诊断的征象。材料与方法 2 5例静脉畸形骨肥大综合征行下肢静脉顺行造影 ,7例行下肢动脉数字减影血管造影 ,4例行磁共振检查 ,8例行彩色多普勒超声波检查。结果 2 5例静脉畸形骨肥大综合征下肢静脉顺行造影均有浅静脉曲张 ,其外侧静脉畸形占 92 % ,9例有深静脉病变占 3 6% ;7例下肢动脉数字减影血管造影有动脉小分支异常 ,其中2例有低分流量动静脉瘘 ;4例磁共振检查有骨及血管畸形、软组织肿胀 ;8例彩色多普勒超声波对深静脉病变检查的符合率为 62 .5 %。结论 影像诊断有助于加深和扩展对静脉畸形骨肥大综合征的认识 ,为临床诊断、鉴别诊断和治疗提供依据。
Objective To investigate the signs of venous malformations in the diagnosis of osteomalacia syndrome. Materials and Methods Twenty - five cases of venous malformation bony hypertrophy underwent serial angiography of lower extremity, 7 cases of digital subtraction angiography of lower extremity arteries, 4 cases of magnetic resonance imaging and 8 cases of color Doppler ultrasound examination. Results 25 cases of venous malformations of hypertrophic bones hypertrophy in the lower extremity antegrade venous drainage were superficial varicose veins, lateral venous malformations accounted for 92%, 9 cases of deep venous lesions accounted for 36%; 7 cases of lower extremity arterial digital subtraction angiography 2 cases had low fraction arteriovenous fistula, 4 cases had bone and vascular malformation and soft tissue swelling. The coincidence rate of color Doppler ultrasonography in 8 cases of deep venous lesions was 62.5% . Conclusion Imaging diagnosis can help to deepen and expand the understanding of venous malformations and provide basis for clinical diagnosis, differential diagnosis and treatment.