摘要
目的:探讨常见假性动脉瘤的治疗方法。方法:2007年1月至2008年10月,对29例假性动脉瘤患者的临床资料进行回顾性分析。男25例,女4例,年龄年龄21～34岁,平均28.7岁;其中外伤所致6例,白塞病累计血管2例,介入等医源性4例,毒品注射17例;上肢桡动脉假性动脉瘤2例,股动脉假性动脉瘤27例,损伤部位单纯动脉修补2例,瘤体清除加动脉结扎5例,瘤体清除加动脉修补3例,瘤体清除加人工血管或自体大隐静脉旁路转流19例。结果:术后除1例毒品注射患者毒瘾复发再次注射导致中毒死亡外,其他无死亡病例,所有患者症状体征均明显缓解,术后随访未发生肢体严重缺血导致截肢病例。结论:假性动脉瘤起因较多,治疗上应根据不同情况采取不同对策,以保证患者生命及肢体为原则,对感染等致瘤体的处理方法尚需进一步探索及研究。
Objective： To evaluate the treatment of pseudoaneurysm （PA） Methods：The clinical data of 29 cases of PA were reviewed retrospectively, 4 female, 35 male,aging 21～34 .The cause of 6 cases were trauma ,2 were Behcet disease ,4 were iatrogenic reason and 17 were drug injection.Simple artery repair were given to 2 cases, 5 cases treated by artery ligation and the body of PA removed,3 cases treated by artery restore and artery ligation,the other were treated by prosthetic grafts. Results： There was no death except 1 case died of poisoning because of his drug addiction relapsed . Conclusion： There are many causes of PA,we should take different strategies in different situatios.The principle is to insure the safety of patient and their limbs,and we should further study the treatment of infection cases.
出处
《泸州医学院学报》
2010年第3期299-300,共2页
Journal of Luzhou Medical College
关键词
假性动脉瘤
感染
手术
Pseudoaneurysm
Infection Operation
