四肢创伤性动脉瘤及动静脉瘘(附56例治疗报告)

Surgical Treatment of Traumatic Aneurysms and Arteriovenous Fistulas in Limbs:A Report of 56Cases

1960.～1984.我院外科治疗四肢创伤性动脉瘤及动静脉瘘56例,以动脉瘤切除用静脉移植、重建血管连续性为最好的手术方式。单纯的动脉结扎要慎重,否则会发生肢体的缺血坏死。

Fifty-six cases of traumatic aneurysms and arteriovenous fistulas in limbs were treated in our hospital from 1960 to 1984. The aneurysms or artetiovenous fistulas were removed and ligated in 10 cases, repaired in 14 cases, grafted by veins in 20 cases, closed spontaneously in 1 case with arteriovenous fistula and amputated in 1 case, The patterns of operation were not clear in 3 cases. The authors consider that aneurysm resection, venous grafting and revascularization are the best choice in the treatment of the patients. Simple artierial ligation must be carefully handled, Otherwise ,.ischemic gangrene will follow.