周围动脉瘤47例手术治疗临床分析  

Clinical analysis on treatment of peripheral artery aneurysms: a report of 47 cases

作　　者：朱盛兴[1] 宋超[2] ZHU Sheng-xing;SONG Chao(Department of the Second General Surgery,People’s Hospital of Zhengzhou,Zhengzhou 450052,China;Department of Vascular Surgery,Changhai Hospital,Shanghai 200433,China)

机构地区：[1]郑州人民医院普外二科,河南郑州450052 [2]上海长海医院血管外科,上海200433

出　　处：《河南医学研究》2019年第16期2899-2901,共3页Henan Medical Research

摘　　要：目的探讨周围动脉瘤治疗方式的选择和诊治策略。方法回顾性分析郑州人民医院普外二科2008年6月至2015年7月收治的47例周围动脉瘤患者的临床资料。其中男36例,女11例;平均年龄为(58.5±17.7)岁;颈总动脉瘤15例,股动脉瘤13例,腘动脉瘤4例,胫前动脉瘤2例,腓动脉瘤1例,锁骨下动脉瘤3例,头臂干动脉瘤1例,甲状颈干动脉瘤2例,肱动脉瘤5例,尺动脉瘤1例。根据临床表现及侧枝循环情况分别采用外科手术或腔内手术治疗。结果外科手术34例,术后手术并发症发生率为23.5%(8/34),腔内手术13例,术后手术并发症发生率为15.4%(2/13)。共有35例患者定期随访,随访时间为4个月~7 a,平均56个月。随访期共有3例死亡,其中1例死于血管系统疾病。结论周围动脉瘤根据病情选择恰当手术治疗方案,均可获得良好疗效。对于解剖困难和外科手术失败的患者应选择腔内治疗,其手术创伤小,术后并发症发生率低,但远期通畅率及生存率还有待进一步提高。Objective To explore the selection of treatment methods and the strategies of diagnosis for peripheral aneurysm.Methods Forty-seven cases were reviewed from June 2008 to July 2015,36 cases were male,11 cases were female,the mean age was(58.5±17.7)years.15 cases were carotid aneurysms,13 cases were iliac artery aneurysm,13 cases were femoral artery aneurysms,4 cases were popliteal artery aneurysms,2 cases were anterior tibial arteryaneurysms,1 case was fibular artery aneurysm,3 cases were subclavian artery aneurysms,1 case was innominate artery aneurysm,2 cases were thyrocervical trunk aneurysms,5 cases were brachial artery aneurysms and 1 case was ulnar artery aneurysm.All cases had either open procedures or endovascular procedures.Results Surgical procedures were performed on 34 cases,and endovascular procedures were performed on 13 cases.The perioperative complication rate were 23.5%(8/34)and 15.4%(2/13)for open and endovascular groups respectively.The mean follow-up time was 56 months(4 months to 7 years).3 cases died during follow-up.Conclusion Surgical treatment of peripheral aneurysms should be selected according to the patient condition.Both surgical methods can achieve good results.Endovascular treatment should be selected for patients with anatomical difficults and surgical failure.The surgical trauma and complications are small,but the long-term patency rate and survival rate need to be considered in the future.

关 键 词：周围动脉瘤 腔内隔绝术 人工血管旁路术 

分 类 号：R654.3[医药卫生—外科学]