创伤性周围动脉瘤的外科治疗  

SURGICAL MANAGEMENT OF TRAUMATIC PERIPHERAL ARTERIAL ANEURYSMS

作　　者：李晓曦[1] 王深明[1] 黄灿之[1] 程钢[1] 刘仁斌[1] 黄雪玲[1] 

机构地区：[1]中山医科大学附属第一医院外科,广东广州510080

出　　处：《中国现代普通外科进展》1999年第4期40-41,共2页Chinese Journal of Current Advances in General Surgery

摘　　要：目的 探讨诊断和外科手术治疗创伤性周围动脉瘤的影响因素.方法 回顾性分析近5年来收治的创伤性周围动脉瘤23例.根据临床表现和超声多普勒检查诊断.12例急诊手术,11例择期手术,包括动脉瘤切除后动脉结扎,动脉修补,人工血管或自体大隐静脉移植重建.结果23例均手术治愈,无严重并发症.结论 创伤性动脉瘤经详询病史,认真查体,必要的辅助检查均可明确诊断,手术方式依具体情况而定,应重视预防医源性动脉瘤的发生.Objective : To investigate the affected factors in diagnosis and surgical management of traumatic peripheral arterial aneurysm. Methods: Twentythree traumatic peripheral arterial aneurysms, which were treated in the passed 5 years, were analyzed retrospectively. Aneurysms were identified on clinical findings and color Doppler flow imaging. Of them, 11 elective operations and 12 emergent operations were performed, included aneurysm resection with ligation of the arteries, arterial repair, or au-tosaphenous venous or artificial vascular graft. Results:All 23 traumatic peripheral arterial aneurysms were cured without complication. Conclusion: Traumatic aneurysm is not hard to be diagnosed and should be managed surgically according to the individual. Prevention of iaotrogenic traumatic aneurysm should be emphasized.

关 键 词：动脉瘤 创伤 创伤性周围动脉瘤 外科治疗 诊断 手术方式 

分 类 号：R543.16[医药卫生—心血管疾病]