注射吸毒所致感染性假性股动脉瘤的股动脉结扎治疗

Femoral artery ligation in treatment of infected femoral artery pseudoaneurysm caused by addictive drugs injection

目的总结股动脉结扎治疗注射吸毒所致感染性假性股动脉瘤的体会。方法对45例注射吸毒所致感染性假性股动脉瘤患者资料进行回顾性分析。采用股动脉或髂外动脉结扎+瘤体切除术治疗感染性假性股动脉瘤,术后预防血栓形成及抗感染治疗,并随访患肢功能。结果44例患者保肢成功,近期患肢行走功能良好。1例术后因深静脉血栓形成,出现肢体坏死而截肢。结论34例(75.6%)获3～12个随访,疗效满意。股动脉结扎是治疗感染性假性股动脉瘤的有效方法。

Objective To summarize our experience in management of infected femoral artery pseudoaneurysm caused by addictive drugs injection. Methods Clinical data of 45 cases of infeted femoral artery pseudoaneursysm were reviewed retrospectively. When infected femoral artery pseudoaneurysm was diagnosed, the femoral artery or external iliac artery was ligated and the pseudoaneurysm was resected in all of cases.Anticoagulants and antibiotics were used after operation. Results Lower limbs were salvaged in 44 patients. The ambulation function of affected limb was fine in the short-term. One limb was amputated because of lower limb deep venous thrombosis and gangrene. Thirty-four patients （ 75. 6% ） were followed up for 3 - 12 months, the results were satisfactory. Conclusions Femoral artery or external iliac artery ligation is an effective procedure for management of infected femoral artery pseudoaneurysm.