37例肢体假性动脉瘤的治疗  

Treatment of extremity pseudoaneurysm ( Report of 37 Cases)

作　　者：潘力生[1] 方灿军[1] 聂宗杰[1] 

机构地区：[1]安徽医科大学附属安庆市立医院普外科,安庆246003

出　　处：《安徽医学》2013年第8期1103-1106,共4页Anhui Medical Journal

摘　　要：目的探讨肢体假性动脉瘤治疗方式的选择，提高假性动脉瘤的诊治水平。方法回顾性分析37例肢体假性动脉瘤患者治疗方式。18例患者行局部按压治疗，6例瘤腔里注射凝血酶治疗，开放手术治疗16例，其中行血管结扎术3例，破口修补术5例，血管端端吻合术2例，血管重建6例。介入治疗3例。结果37例患者均治疗成功。32例患者得到随访，时间为6个月～3年；行血管修补术、吻合术和动脉结扎术者，术后肢体均无血运障碍。3例血管介入治疗的患者均得到随访，1例支架堵塞，下肢以股深动脉供血，但没有明显下肢缺血症状，随访观察。结论对于四肢的假性动脉瘤应该根据具体情况选择恰当的治疗方式，术后患者多可以痊愈。Objective To explore the alternatives of treatment of extremity pseudoaneurysm in order to improve the level of diagnosis and treatment of pseudoaneurysm. Methods 37 patients with extremity pseudoaneurysm admitted to our hospital were retrospectively analysed. Eighteen cases were treated with local press, 6 of whom received thrombin injection in the cavity. Sixteen cases underwent open surgieal treatmenl, of whom 3 received vascular ligation, 5 were treated with break repair, 2 received vascular end - side anastomosis, and 6 were performed with vascular remodeling. Three cases underwent interventional treatment. Results All 37 patients were successfully treated, and 32 patients received follow- up for 6 months～3 years; tor patients who were treated with vascular repair, ligation and artery anastomosis,there was no postoperative hemodynamic disorder. Three cases who underwenl vascular interw,ntional therapy received follow- up, of whom I case occurred bracket plug,blood supply of deep femoral artery in lower limbs,but there was no obvious symptoms of lower extremity ischemia,being dealt with follow-up.Conclusion In the treatment of extremity pseudoaneurysm,appropriate treatments should be selected according to different circumstances in order to secure the postoperative recovery in patients.

关 键 词：假性动脉瘤 治疗 

分 类 号：R654.3[医药卫生—外科学]