D DNG MCH MU NO

BS.PHNG VN C

D DNG MCH MU NO
KHI QUT LM SNG CC LAI

IU TR

KHI QUT
C 4 nhm d dng mch mu no:

- Cc im gin mao mch(Telangiectatias) Capillary telangiectatias - Cc d dng th hang(Cavernousmalformation) - Cc d dng tnh mch(venous malformation) - Cc d dng ng tnh mch(Arterio-venous malformation-AVM)

LM SNG
Cc d dng khng v:
ng

kinh Hi chng thn kinh Cc ri lan tm thn Nhc u Tng p lc ni s Suy tim

LM SNG
Cc bin chng xut huyt:
Thng

gp ngi tr tui Lm sng ty thuc vo mc xut huyt, th tch v v tr ca d dng a s l gy xut huyt no,mng no:

CC LAI D DNG
D dng gin mao mch:
Thng

rt nh Hay gp cu no t khi xut huyt hoc c huyt khi Mch no khng cho thy d dng ny CT v MRI t khi gip ta chn an c lai d dng ny

CC LAI D DNG
D dng th hang:
Thng

to hn cc gin mao mch Chn an nh CT v MRI

CC LAI D DNG
D dng tnh mch:
Cc

tnh mch d dng c m no bnh thng ngn cch ra Trn mch no : hnh con sa t khi xut huyt

CC LAI D DNG
D dng ng tnh mch:
Gm

nhiu ng mch v tnh mch pht trin bt thng C nhiu ng mch nui,cc ng mch ny c th c ti phnh(15%) S lng,kch thc,hnh dng ca tnh mch dn lu rt thay i, i khi tnh mch ny c ti phnh

D dng ng tnh mch

CHN ON

ng kinh cc b. Xut huyt di nhn v trong no t pht. tr con, huyt p thng khng thay i. C trm cp (steal) mu gy yu thn kinh t t do thiu mu nui no bn ngoi d dng. C ting thi bt thng trong u. CT, CAG, DSA, MRI. D dng mch mu ty (AVM ty) gy bnh l ty sng (Myelopathy).

IU TR

Ct b d dng ng tnh mch

Gy tt mch mu ca d dng

X tr c v tr xc nh trong khng gian

D DNG MCH MU NO