摘要
目的探讨人工血管旁路移植术治疗感染性股动脉假性动脉瘤的效果。方法回顾性分析2005年1月—2010年12月40例感染性股动脉假性动脉瘤的临床资料,40例患者均为吸毒者,均接受了假性动脉瘤切除、彻底清创及人工血管旁路移植术。结果围手术期内无死亡患者,且均保肢成功,创口均二期愈合。34例(85.0%)术后获得随访3～12个月,平均7.4个月。随访期内发生移植物感染3例(8.8%),取出感染的移植物后2例保肢成功,1例最终因肢体缺血坏死而接受截肢术;彩超检查发现人工血管腔内部分血栓形成4例(11.8%),给予抗血小板治疗,远端肢体均无缺血坏死。结论人工血管旁路移植术是治疗注射吸毒所致感染性股动脉假性动脉瘤的安全、有效的方法。
Objective To evaluate the effect of the treatment of infected femoral artery pseudoaneurysm using bypass grafting with vascular prosthesis.Methods The clinical data of 40 patients with infected femoral artery pseudoaneurysm admitted to our hospital from January 2005 to December 2010 were analyzed retrospectively.All the 40 patients were drug abusers,and underwent pseudoaneurysm excision,radical debridement and vascular prosthesis bypass grafting operation.Results No death occurred and the patients′ limbs were all successfully salvaged during the perioperative period.All wounds were healed by secondary intervention.Thirty-four patients were followed up for 3 to 12 months（average of 7.4 months）.Prosthetic graft infection occurred in three patients（8.8%） during the follow-up period,two of whom had their limbs salvaged after removal of the infected graft,and one finally underwent amputation because of ischemic limb necrosis.Thrombus formation was detected by color Doppler ultrasound in some parts of the lumen of prosthetic graft in four patients（11.8%）,however,no ischemic necrosis occurred in the affected limbs of the four patients after antiplatelet therapy.Conclusions Bypass grafting using vascular prosthesis is a safe and effective method for treatment of infected femoral artery pseudoaneurysm secondary to illegal drug injections.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2011年第12期1355-1358,共4页
China Journal of General Surgery
关键词
动脉瘤
假性
动脉瘤
感染性
股动脉
人工血管
旁路移植
物质滥用
静脉内
Aneurysm
False
Aneurysm
Infected
Femoral Artery
Blood Vessel Prosthesis
Bypass Grafting
Substance Abuse
Intravenous
