复合杂交手术治疗外伤性股动静脉瘘的临床实践  

Traumatic femoral arteriovenous fistula treated with combined hybridization surgery

作　　者：邵华[1] 侯凯 董智慧 刘斐 陈斌 蒋俊豪 石赟 郭大乔 符伟国 SHAO Hua;HOU Kai;DONG Zhi-hui;LIU Fei;CHEN Bin;JIANG Jun-hao;SHI Yun;GUO Da-qiao;FU Wei-guo(Department of Vascular Surgery,Xinhua Hospital Affiliated to Dalian University,Dalian 116021,Liaoning,China;Department of Radiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Vascular Surgery,Zhongshan Hospital,Fudan University,Shanghai 200032,China)

机构地区：[1]大连大学附属新华医院血管外科,大连116021 [2]复旦大学附属中山医院放射科,上海200032 [3]复旦大学附属中山医院血管外科,上海200032

出　　处：《中国临床医学》2018年第5期791-794,共4页Chinese Journal of Clinical Medicine

基　　金：上海市卫生计生系统优秀学科带头人培养计划(2018BR40)~~

摘　　要：目的:初步探讨下肢动脉造影联合开放性动静脉瘘修补的复合杂交手术治疗外伤性股动静脉瘘的疗效和策略。方法:回顾分析复旦大学附属中山医院1例右下肢外伤性股动静脉瘘的临床资料,在实时动脉造影下进行动静脉瘘修补联合股浅动脉结扎术治疗,分析手术策略及疗效。结果:患者手术治疗成功,右下肢股动静脉瘘被彻底封闭,临床症状迅速改善,4个月后CT动脉血管造影(CTA)示血管恢复良好,术后半年随访无异常。结论:复合手术因术中实时造影,为股动静脉瘘的术中评估及手术方法的选择提供了良好的指引,有利于患者获得更加合理、有效的治疗。Objective:To explore the efficacy and strategy of combined hybridization surgery in the treatment of traumatic femoral arteriovenous fistula.Methods:Clinical data of one case of traumatic right femoral arteriovenous fistula from Zhongshan Hospital,Fudan University were reviewed.The arteriovenous fistula neoplasty combined with superficial femoral artery ligation was performed under real-time angiography.The surgical strategy and efficacy were analyzed and related literatures were reviewed.Results:The patient’s operation was successful.The right femoral arteriovenous fistula was completely closed and the clinical symptoms were improved rapidly.CTA showed good vascular recovery 4 months after the surgery and no abnormalities were observed during a 6-month follow-up.Conclusions:Intraoperative real-time angiography of combined surgery can provide good guidance for the intraoperative evaluation of femoral arteriovenous fistula and the choice of operation methods,which is beneficial for the patients to obtain more reasonable and effective treatment.

关 键 词：动静脉瘘 复合手术治疗 下肢 

分 类 号：R816.2[医药卫生—放射医学]