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外周血管假性动脉瘤的临床分析 被引量:13

Clinical analysis of pseudoaneurysm in the peripheral vessel
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摘要 目的:通过对周围血管假性动脉瘤(Peripheral pseudoaneurysm,PSA)的病因及诊治作回顾性分析,以期提高PSA的诊治水平。方法:对重庆医科大学附属第一医院2005年5月~2009年9月收治的68例PSA患者的病因、诊断、治疗和随访结果作回顾性分析。结果:病因中以药物注射为主,治疗以手术为主,介入治疗3例,瘤体清除+端端吻合2例,瘤体清除+血管缝扎或结扎39例,瘤体清除+血管修补术11例,瘤体清除+自体大隐静脉或人工血管移植术12例,截肢术1例,术后患者均治愈出院。结论:PSA经及时正确的诊断、治疗,预后良好。 Objectve:To investigate the etiopathogenisis,diagnosis and treatment of peripheral pseudoaneurysm in order to improve the diagnosis and treatment of this disease.Methods:The data of 68 patients with peripheral pseudoaneurysm from May 2005 to September 2009 treated in the Department of Vascular Surgery of the First Affiliated Hospital of Chongqing Medical University were retrospective1y analyzed.Results:Drug injection was the most important cause of peripheral pseudoaneurysm,surgery was the predominant treatment(embolotherapy in 3 cases under DSA,direct repair in 11 cases,autogenous vein or artificial blood vessel transplantation in 12,arterial end-to-end anastomosis in 2,arterial ligation or transfixion in 39,amputation in 1).All the cases were cured and no operative death.Conclusion:Peripheral pseudoaneurysm can be cured if provided with timely,accurate diagnosis and proper surgical therapy,and the prognosis is good.
出处 《重庆医科大学学报》 CAS CSCD 北大核心 2011年第2期221-223,共3页 Journal of Chongqing Medical University
关键词 假性动脉瘤 临床诊治 pseudoaneurysm clinical diagnosis and treatment
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