摘要
目的探讨感染性股动脉假性动脉瘤的外科治疗方法。方法回顾性分析2003年1月至2008年6月期间我院收治的45例感染性股动脉假性动脉瘤行外科治疗患者的资料。43例感染性股动脉假性动脉瘤采用瘤体切除及彻底清创后行人工血管旁路移植治疗；另2例由于感染严重及瘤体巨大被迫采用瘤体切除并行近、远端动脉结扎。结果随访3～12个月，平均7．82个月，人工血管旁路移植病例全部保肢成功，切口均二期愈合，无间歇性跛行；行动脉结扎的2例中，1例因缺血坏疽行膝上高位截肢；另1例保肢成功，但有间歇性跛行。结论动脉瘤切除及彻底清创后行人工血管旁路移植是感染性股动脉假性动脉瘤安全、有效的治疗方法。
Objective To evaluate surgical treatment of infected femoral artery pseudoaneurysm. Methods The data on surgical treatment of 45 patients with infected femoral artery pseudoaneurysm admitted from January 2003 to June 2008 were analyzed retrospectively. Fourty-three patients underwent operative treatment including excision of infected femoral artery pseudoaneurysm, exhaustive debridement and bypass graft with vascular prosthesis. Two patients were unavoidable to undergo removing of infected femoral artery pseudoaneurysm and ligating the proximal and distal artery of pseudoaneurysm because of severe infection and large volume. Results The patients were followed up from 3 to 12 months （mean 7.82 months）. The limbs of all the patients underwent bypass graft with vascular prosthesis were salvaged successfully, patients of which had secondary wound healing and had not intermittent lameness. One of two patients performed ligation of artery was salvaged successfully but had severe intermittent lameness, another patient underwent high amputation above knee because of ischemic gangrene. Conclusion For infected femoral artery pseudoaneurysm, the operative treatment including excision of infected femoral artery pseudoaneurysm, exhaustive debridement and bypass graft with vascular prosthesis is effective and safe.
出处
《中国普外基础与临床杂志》
CAS
2009年第4期296-299,共4页
Chinese Journal of Bases and Clinics In General Surgery
关键词
假性动脉瘤
股动脉
人工血管
旁路移植
外科治疗
Pseudoaneurysm
Femoral artery
Vascular prosthesis
Bypass graft
Surgical treatment
