感染性假性股动脉瘤61例治疗分析  

Surgical treatment of femoral artery infected false aneurysms:an analysis of 61 cases

作　　者：李晓曦[1] 李松奇[1] 胡作军[1] 叶财盛[1] 陈浩鑫[1] 王深明[1] 

机构地区：[1]中山大学附属第一医院血管外科,广东广州510080

出　　处：《中国实用外科杂志》2007年第7期531-533,共3页Chinese Journal of Practical Surgery

摘　　要：目的探讨动脉瘤切除和动脉结扎治疗创伤后感染性假性股动脉瘤的作用。方法回顾性分析2001年1月至2006年12月中山大学附属第一医院收治的62例因吸毒致创伤后感染性假性股动脉瘤的治疗经过。采用腹股沟韧带上方切口,经腹膜后控制髂外动脉,并在动脉瘤远端暴露股浅动脉,切除动脉瘤,局部清创和血管结扎。结果无术后死亡,无术后大出血及截肢。平均随访32个月(3个月至4年),2例有轻度的间歇性跛行。结论创伤后感染性假性股动脉瘤须紧急手术治疗。动脉瘤切除、动脉结扎和彻底的局部清创治疗创伤后感染性假性股动脉瘤安全、有效,且手术操作相对简单。Objective To evaluate the outcome of the excision of the aneurysm with femoral artery ligation and local debridement, without any revascularization in surgical management of post-traumatic femoral artery infected false aneurysms （pfa-IFA）. Methods The clinical data of 61 cases of pfa-IFA admitted between January 2001 and December 2006 were analyzed retrospectively. Clamping of the external iliac artery was achieved retroperitoneally through an Oblique suprainguinal incision. Distal superficial femoral artery was controlled through middle of thigh incision. All the cases were performed the excision of the false aneurysm with ligation of vessels and local debridement. Results There was no hemorrhage, amputation or mortality in the cases. The duration of follow-up ranged from 3 to 48 months （ mean 32 months）. Two cases had mild claudication. Conclusion Ligation of artery and wide debridement without immediate revascularization is an easy, effective and safe management for pfa-IFA.

关 键 词：假性股动脉瘤 感染性动脉瘤 

分 类 号：R6[医药卫生—外科学]