临床外科杂志 ›› 2026, Vol. 34 ›› Issue (8): 957-958.doi: 10.3969/j.issn.1005-6483.20250175

• 临床病例报道 • 上一篇    下一篇

颈部椎动静脉瘘一例

  

  1. 250031  山东济南,中国人民解放军联勤保障部队第九六〇医院放射诊断科(李雯雯 、刘洁琼 、张翼),神经外科(宋立国)
  • 收稿日期:2025-02-26 接受日期:2025-02-26 出版日期:2026-08-20 发布日期:2026-08-20
  • 通讯作者: 张翼,Email:329667222@qq.com

A case of cervical vertebral arteriovenous fistula#br#

  1. Department  of Radiology,the 960th Hospital of the PLA Joint Logistics Support Force,Jinan 250031,China
  • Received:2025-02-26 Accepted:2025-02-26 Online:2026-08-20 Published:2026-08-20

摘要: 颈部椎动静脉瘘(CV-AVF)是一种罕见血管畸形,表现为椎动脉处动静脉病理性沟通并引发临床症状。本文报告1例年轻女性因右侧颈部搏动性包块就诊,经彩超、CT血管造影术(CTA)及数字减影血管造影(DSA)确诊右侧CV-AVF,予介入栓塞治疗后恢复良好。DSA在CV-AVF诊断中具有关键价值,治疗以介入栓塞与外科手术为主,早期诊断及干预至关重要。

关键词: 颈部椎动静脉瘘, CTA, DSA, 介入栓塞, 血管畸形

Abstract: Cervical vertebral arteriovenous fistula (CV-AVF) is a rare vascular malformation characterized by pathological communication between arteries and veins at the vertebral artery,leading to clinical symptoms.This paper reports a young female patient who presented with a pulsatile mass in the right neck.The diagnosis of right CV-AVF was confirmed by color Doppler ultrasound,computed tomography angiography (CTA),and digital subtraction angiography (DSA).The patient underwent interventional embolization and achieved a good postoperative recovery.DSA is of crucial value in the diagnosis of CV-AVF,and the main treatment methods include interventional embolization and surgical operation.Early diagnosis and intervention are essential.

Key words: cervical vertebral arteriovenous fistula (CV-AVF), computed tomography angiography, digital subtraction angiography, interventional embolization, vascular malformation

[1] 张忠云 汪东亚 张正望 戴文斌 钱伟庆 张海. 压力性尿失禁耻骨后尿道中段吊带术术后动脉性大出血一例报道并文献复习[J]. 临床外科杂志, 2026, 34(4): 467-469.
[2] 孙茂琦 田菲 周民. 颅内动脉瘤破裂后早期神经介入栓塞的疗效及对神经功能的影响[J]. 临床外科杂志, 2024, 32(11): 1137-1141.
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