BACKGROUND Vascular malformations of the extremities (VM) are common benign lesions that tend to grow throughout the patient's lifetime. They can cause various issues like pain, swelling, and even limb length discrepancies. Sclerotherapy was the preferred treatment choice in previous studies. However, sclerotherapy and many other treatments have the potential to result in higher recurrence rates. Surgical treatment has been shown to be effective and safe in many cases. Hence, this study aims to evaluate the suitability of wide resection surgery for VM to reduce recurrence. METHODS Fort-seven VM cases that underwent wide resection were identified retrospectively in the institution of study. Demographics, depth of malformation, whether malformations were local or diffuse, location and size of malformations, and histology records were taken note of. Records of recurrence and postoperative function were also gathered. We utilized self-reported questionnaires, QuickDASH and Lower Extremity Functional Scale, to determine patients' postsurgical physical function. RESULTS Out of 47 cases that underwent wide resection, we found a recurrence rate of 2.1%. No patients sustained any loss of function postsurgery, with few patients experiencing minor complications like tenderness, hypertrophic scars/keloids, as well as numbness. Good functionality posttreatment was also seen through self-reported questionnaires, with an average score of 2.12 for QuickDASH and 99.96% for LEFS. CONCLUSION Where margins can be obtained without functional impairment, surgical-wide resection for VM is a viable treatment option to minimize recurrence. LEVEL OF EVIDENCE Level-IV.

中文翻译：

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小儿四肢血管畸形广泛切除——三甲医院的经验。

背景技术四肢血管畸形(VM)是常见的良性病变，往往在患者的一生中不断生长。它们会引起各种问题，例如疼痛、肿胀，甚至肢体长度差异。在之前的研究中，硬化疗法是首选的治疗选择。然而，硬化疗法和许多其他治疗方法有可能导致更高的复发率。在许多病例中，手术治疗已被证明是有效且安全的。因此，本研究旨在评估VM广泛切除手术是否适合减少复发。方法 对研究机构中接受广泛切除的 Fort-7 VM 病例进行回顾性鉴定。记录人口统计学、畸形深度、畸形是局部的还是弥漫性的、畸形的位置和大小以及组织学记录。还收集了复发和术后功能的记录。我们利用自我报告的问卷、QuickDASH 和下肢功能量表来确定患者的术后身体功能。结果 在 47 例接受广泛切除的病例中，我们发现复发率为 2.1%。没有患者术后出现任何功能丧失，少数患者出现轻微并发症，如压痛、肥厚性疤痕/疤痕疙瘩以及麻木。通过自我报告的问卷调查也发现治疗后功能良好，QuickDASH 的平均得分为 2.12，LEFS 的平均得分为 99.96%。结论 在获得切缘且不影响功能的情况下，VM 手术全切除术是减少复发的可行治疗选择。证据级别 IV 级。