创伤性假性动脉瘤的诊治  

The diagnosis and treatment of traumatic pseudoaneurysm

作　　者：陈幸生[1] 林梃[1] 官云彪[1] 李南[1] 薛明[1] 洪登科[1] 

机构地区：[1]福建医科大学附属协和医院血管外科,福州350001

出　　处：《中国血管外科杂志（电子版）》2011年第4期209-212,共4页Chinese Journal of Vascular Surgery(Electronic Version)

摘　　要：目的探讨各种创伤性假性动脉瘤的诊断与治疗方法。方法回顾性分析1998年6月～2010年7月收治的32例创伤性假性动脉瘤患者的诊治情况。根据假性动脉瘤的大小、位置与受损血管口径不同,采用相应的方法进行治疗:(1)假性动脉瘤切除+动脉重建;(2)瘤体切开或切除+破口修补;(3)瘤体切除+受损动脉结扎;(4)血管腔内治疗,带膜支架置入;(5)B超引导下破口压迫。结果患者近期治愈率100%,29例随访1～13年,假性动脉瘤未再复发,无死亡;1例截肢。结论根据假性动脉瘤的大小、位置与受损血管口径大小不同,采用相应的治疗方法可获良好疗效。Objective To explore the diagnosis and treatment of traumatic pseudoaneurysm.Methods Thirty-two cases with traumatic pseudoaneurysm between June 1998 and July 2010 were reviewed in terms of their diagnosis and treatment.According to the size and location of pseudoaneurysm and the diameter of lesion artery,the following treatments were implemented:(1) excision of pseudoanuerysm and vessel reconstruction,(2)opening or excision of body of pseudoanuerysm and repair it,(3)excision of pseudoaneurysm and ligation of lesion artery,(4) endovascular therapy with covered stent implantation,(5)ultrasound-guided compression repair.Results The short-term cure rate of traumatic pseudoaneurysm was 100%.Twenty-nine cases were followed up for 1～13 years,and no recourrence and mortality occurred.However,one patient underwent amputation.Conclusion Different treatments should be taken in order to achieve better results in consideration of the size and site of pseudoaneurysm and the diameter of lesion vessel.

关 键 词：假性动脉瘤 创伤 诊断 治疗 

分 类 号：R654.3[医药卫生—外科学]