摘要
目的 总结四肢主要动脉创伤性假性动脉瘤的外科治疗和疗效。方法 1998～2004年收治四肢主要动脉创伤性假性动脉瘤31例，均采用手术治疗，其中直接修补6例，端-端吻合5例，大隐静脉移植16例。人造血管移植3例，血管结扎1例。获随访23例，随访时间6个月～5年（平均18个月）。结果 28例一期治愈出院，其余3例术后血管闭塞二期再行自体静脉移植治愈。随访未见假性动脉瘤复发和肢体缺血症状。结论 四肢主要血管创伤性假性动脉瘤应强调尽早手术治疗；术中阻断动脉远近端血流是手术成败的关键；损伤血管直接或间接重建具有较好的治疗效果。
Objective To explore the surgical management of posttraumatic pseudoaneurysms of the major arteries in extremities. Methods Thirty-one patients admitted to our hospital between 1998 and 2004 were included in this retrospective study. All patients were treated by surgical repair. The surgical treatment methods included direct lateral suture in 6 cases, resection and end to end suture in 5 cases, resection and great saphenous vein graft in 16 cases,resection and artificial blood vessel graft in 3 cases and ligation of the artery in 1 case. Twenty-three patients were followed up from 6 months to 5 years （average 18 months）. Results Of 31 cases,28 cases were cured by one surgical procedure,3 cases were cured by two surgical procedures due to vascular occlusion. No recurrence and ischemia in the extremities was noted. Condusion Posttraumatic pseudoaneurysms of the major arteries in extremities should be treated by surgical repair as early as possible. The key surgical technique to successful treatment of the pseudoaneurysms is to obstruct the blood flow in the distal and proximal artery. The direct and indirect surgical repair can get good results.
出处
《创伤外科杂志》
2006年第1期46-48,共3页
Journal of Traumatic Surgery
关键词
四肢
动脉
假性动脉瘤
静脉移植
人造血管
limbs
artery
pseudoaneurysms
vein graft
artificial blood vessel
