静脉畸形射频消融治疗专家共识(2025版)
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河南省重点研发专项基金资助项目(231111311400)。


Expert consensus on radiofrequency ablation treatment for venous malformation (2025 version)
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    摘要:

    静脉畸形(VM)是血管畸形中最常见的一种先天性血管疾病,呈终身渐进发展的特点,严重危害患者的身心健康。在治疗方面,创新性地将射频消融(RFA)治疗应用于VM已经成为一种可靠的治疗方法,在临床上显示出了确切的疗效,且同时具备安全、微创、住院时间短、费用较低等优势。但目前国内外尚无相关指南或共识对RFA治疗VM提供推荐性建议。因此,中华医学会急诊医学分会、中国医师协会介入医师分会组织国内血管瘤外科、血管外科、整形外科、介入科、影像科、急诊科、普通外科、内科等领域专家综合国内外研究,对VM的RFA治疗最新进展及临床意义进行了总结讨论,形成和完善了《静脉畸形射频消融治疗专家共识》(2025版),本共识包括RFA治疗VM的适应证、消融策略、围手术期管理、相关并发症防治策略等方面的20条专家共识推荐意见,旨在提高临床操作者对RFA治疗VM规范化应用的认知和实践能力,从而保证该治疗方法在临床应用过程中的安全性和有效性。

    Abstract:

    Venous malformation (VM) is the most common type of congenital vascular anomaly, characterized by a lifelong progressive course that poses significant threats to patients' physical and mental health. In terms of treatment, the innovative application of radiofrequency ablation (RFA) to VM has emerged as a reliable therapeutic option, demonstrating definitive clinical efficacy while offering advantages such as safety, minimal invasiveness, shorter hospital stays, and lower cost. Nevertheless, there is still no authoritative guideline or consensus, either from domestic or international sources, that provides standardized recommendations for RFA in the treatment of VM. To fill this void, the Emergency Medicine Branch of the Chinese Medical Association and the Interventional Physicians Branch of the Chinese Medical Doctor Association convened a multidisciplinary panel of experts from various fields that include vascular tumor surgery, vascular surgery, plastic surgery, interventional radiology, diagnostic imaging, emergency medicine, general surgery, and internal medicine. Drawing upon both domestic and international research, the panel reviewed and discussed recent advances and the clinical significance of RFA in VM treatment. As a result, they developed and refined the Expert consensus on radiofrequency ablation treatment for venous malformation (2025 version). This consensus includes 20 expert recommendations covering indications, ablation strategies, perioperative management, and approaches to the prevention and management of related complications. The aim is to enhance clinicians' understanding and practical skills in the standardized application of RFA for VM, thereby ensuring its safety and effectiveness in clinical practice.

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.静脉畸形射频消融治疗专家共识(2025版)[J].中国普通外科杂志,2025,34(6):1083-1096.
DOI:10.7659/j. issn.1005-6947.250291

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  • 收稿日期:2025-05-27
  • 最后修改日期:2025-06-06
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  • 在线发布日期: 2025-08-01