[摘要]目的：探讨B超引导下1 470 nm激光联合聚桂醇硬化剂注射治疗周围动静脉畸形的疗效。方法：选择2019年1月-2024年2月笔者科室收治并确诊为周围动静脉畸形的81例患者，按周围动静脉畸形影像学类型特征，将患者分为三组(其中Ⅰ型组14例，Ⅱ型组30例，Ⅲ型组37例)，术前检测病灶大小，联合治疗后1个月复诊，对比三组患者手术治疗次数、治疗前后病灶缩小程度，分析治疗的有效性及安全性。结果：本组81例患者，治愈率为29.63%，总有效率为60.49%。病灶缩小程度和治疗总有效率均Ⅱ型组>Ⅰ型组>Ⅲ型组，Ⅲ型组治疗次数明显多于Ⅰ型组与Ⅱ型组，以上指标三组比较差异均有统计学意义(P<0.05)；所有患者术后未出现呼吸困难、严重过敏、脏器损伤及血管栓塞等严重并发症。结论：B超引导下1 470 nm激光联合聚桂醇硬化剂治疗周围动静脉畸形，组织损伤程度小，安全性高，疗效好，并可根据周围动静脉畸形影像学分型采取最佳治疗方案。

    [关键词]周围动静脉畸形；影像学分型；超声引导；激光治疗；联合治疗；聚桂醇泡沫硬化剂

    [中图分类号]R732.2 [文献标志码]A [文章编号]1008-6455(2024)10-0085-05

    Efficacy Analysis of Ultrasound-guided 1 470 nm Intracavitary Laser Combined with Lauromacrogol Foam in the Treatment of Peripheral Arteriovenous Malformations

    MO Zizeng， GUO Yulei， FENG Caixin， YE Xihao， LIU Yang， WU Zhixian， LIANG Jie

    ( Department of Plastic Surgery， Affiliated Hospital of Guangdong Medical University， Zhanjiang 510180， Guangdong， China )

    Abstract： Objective To explore the short-term clinical efficacy ultrasound-guided 1470 nm intracavitary laser combined with lauromacrogol foam in the treatment of peripheral arteriovenous malformations. Methods 81 patients diagnosed with peripheral arteriovenous malformations admitted to the author's department from January 2019 to February 2024 were selected.According to the imaging classification of peripheral arteriovenous malformations ......