Surgical treatment for intramuscular venous malformation combined with nerve and tendon encapsulated / 中华整形外科杂志

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.