《Journal of Oral and Maxillofacial Surgery》 ›› 2020, Vol. 30 ›› Issue (2): 67-73. doi: 10.3969/j.issn.1005-4979.2020.02.002

• Critical Review • Previous Articles     Next Articles

Diagnosis and Interventional Treatment of Central Hemangioma of Jaw

FAN Xindong(), LI Xiao   

  1. Department of Interventional Therapy, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China
  • Received:2020-01-16 Revised:2020-01-29 Online:2020-04-28 Published:2020-04-24

颌骨中心性血管瘤的诊断和介入治疗

范新东(), 李晓   

  1. 上海交通大学医学院附属第九人民医院介入科,上海 200011
  • 通讯作者: 范新东,教授. E-mail:
  • 作者简介:

    范新东(1964—),黑龙江省宝清人,上海交通大学医学院附属第九人民医院介入科主任医师、教授、博士生导师。国际血管联盟中国区副主席、脉管畸形专业委员会主席,中国医师协会介入医师分会全委会委员,中国医师协会神经介入医师分会委员,中国抗癌协会妇儿介入分会副主任委员,中华口腔医学会口腔颌面外科专业委员会脉管性疾病学组委员,中华介入放射学会外周血管学组秘书,国际脉管病学会委员。主要从事血管瘤和血管畸形的诊断和介入治疗,对动脉瘤及头颈部恶性肿瘤的介入治疗均有较深的造诣,特别擅长无水乙醇介入治疗脉管畸形。已发表论文68篇,其中47篇发表在国际英文期刊。以第一负责人申请并完成国家自然基金3项,局级课题4项。获得国家科技进步二等奖1项,上海市临床医疗成果奖1项,上海市临床科技一等奖1项。

  • 基金资助:
    国家自然科学基金项目(81271681)

Abstract:

Central hemangioma of the jaw, namely intraosseous arteriovenous malformation of the jaw, has become one of the most dangerous diseases in oral and maxillofacial surgery due to the occurrence of life-threatening acute massive hemorrhage and its low incidence makes clinicians lack of understanding of such diseases. Different from tumor diseases, pathological examination is not suitable for the diagnosis of central hemangioma of the jaw for its invasiveness. Its diagnosis mainly depends on clinical and imaging manifestations. The central hemangioma of the jaw has characteristic clinical and imaging manifestations. The correct understanding of its manifestations can guide the oral and maxillofacial surgeons to diagnose and exclude the suspicious lesions, so as to avoid unnecessary trauma or even death. In this paper, the authors reviewed the relevant literature in recent years, combined with the author's clinical experience, summarized the clinical, imaging manifestations and other diagnostic basis of the central hemangioma of the jaw, and introduced the interventional embolization treatment scheme of the central hemangioma of the jaw, in order to provide some references for the clinicians.

Key words: central hemangioma of jaw, intraosseous arteriovenous malformations, interventional embolization

摘要:

颌骨中心性血管瘤即颌骨骨内动静脉畸形,因具有发生急性大出血而危及生命的风险而成为口腔颌面外科最为凶险的疾病之一;而其较低的发病率使得临床医生对该病认识欠缺。与肿瘤性疾病不同,病理学检查由于其有创性而不适用于颌骨中心性血管瘤的诊断,其诊断主要依赖于临床及影像学表现。颌骨中心性血管瘤具有特征性的临床及影像学表现,正确掌握其表现特征能够指导口腔颌面外科医生对可疑病变进行诊断和排除,从而避免不必要的创伤甚至死亡。本文复习近年的相关文献,并结合笔者的临床经验,对颌骨中心性血管瘤的临床、影像学表现及其他诊断依据进行总结,并介绍颌骨中心性血管瘤的介入栓塞治疗方案,以期为临床医生提供一定的参考。

关键词: 颌骨中心性血管瘤, 骨内动静脉畸形, 介入栓塞治疗

CLC Number: