复合手术治疗婴幼儿医源性动静脉瘘  

Hybrid surgery for the treatment of iatrogenic arteriovenous fistula in infant patients

作　　者：赵磊[1] 丁语[1] 徐伟洋 皮梦奇 徐淼 范新东[2] ZHAO Lei;DING Yu;XU Weiyang;PI Mengqi;XU Miao;FAN Xindong(Department of Interventional Hemangioma and Vascular Surgery,Affiliated Children’s Hospital of Zhengzhou University,Zhengzhou,Henan Province 450000,China)

机构地区：[1]郑州大学附属儿童医院介入血管瘤和血管外科,河南郑州450000 [2]上海交通大学医学院附属第九人民医院介入科

出　　处：《介入放射学杂志》2023年第8期765-768,共4页Journal of Interventional Radiology

摘　　要：目的 探讨复合手术治疗婴幼儿医源性动静脉瘘(AVF)的安全性和有效性。方法 回顾性分析6例医源性AVF患儿,采用复合手术准确定位、解剖瘘口,瘘口给予离断缝合,术后复查造影评估即刻效果,并长期随访观察疗效、不良反应和并发症。结果 6例医源性AVF患儿中,股深AVF 4例,股AVF 1例,肱AVF 1例,均采用复合手术治疗。术后随访6个月~2年,均一期治愈。无放射性损伤、肢体缺血、坏死、血栓形成等并发症。结论 对婴幼儿医源性AVF采用复合手术治疗,能准确定位瘘口、缩短手术时间、减少出血、不遗漏瘘口、节省医疗费用,且能达到一期治愈,值得临床推广。Objective To explore the safety and effectiveness of hybrid surgery in the treatment of iatrogenic arteriovenous fistula(AVF)in infant patients.Methods The clinical data of 6 infant patients with iatrogenic AVF were retrospectively analyzed.Hybrid surgery was employed in all 6 infant patients.After the lesion was accurately located,the fistula was dissected,isolated,and sutured.Postoperative angiography was performed to assess the immediate effect,and a long term follow-up was conducted to observe the curative efficacy,adverse reactions and complications.Results Among the 6 infant patients with iatrogenic AVF,deep femoral AVF was seen in 4,common femoral AVF in one,and brachial AVF in one,all of which were treated with hybrid surgery.After treatment,the 6 infant patients were followed up for 6 months to 2 years,and primary cure was achieved in all the 6 infant patients.No complications such as radiation injury,limb ischemia,necrosis,or thrombosis occurred.Conclusion For the treatment of iatrogenic AVF in infant patients,hybrid surgery has several advantages such as accurately locating the fistula,shortening the operation time,reducing bleeding amount,not missing the fistula,saving medical cost,and achieving primary cure.Therefore,hybrid surgery treatment is worthwhile in clinical promotion.

关 键 词：动静脉瘘 医源性 婴幼儿 复合手术 

分 类 号：R743.3[医药卫生—神经病学与精神病学]