创伤性假性动脉瘤的临床研究

Clinical study of the post-traumatic pseudoaneurysm

目的为提高创伤性假性动脉瘤的诊断和治疗水平。方法回顾性分析和总结经手术治疗的42例创伤性假性动脉瘤。结果本组36例获得随访,均无复发,1例发生上肢缺血伴臂丛神经损伤,1例发生吻合口狭窄。结论创伤性假性动脉瘤及介入治疗后出现的医源性假性动脉瘤有逐年增加趋势,必须提高对假性动脉瘤的警惕和认识,以提高创伤性假性动脉瘤的诊治水平。

Objective To improve the diagnosis and therapy for post-traumatic pseudoaneurysm（TPA）.Methods Forty-two patients with TPA from June 1996 to June 2006 were retrospectively rivewed,including 7 case of arteriovenous fistulas（AVF）.All cases were treated by surgical operations,including pseudoaneurysm resection and arterial suture in 6 cases,pseudoaneurysm resection and arterial ligation in 8 cases,pseudoaneurysm resection and arterial anastomosis in 12 cases,pseudoaneurysm resection and artificial vascular or autogenous saphenous vein bypass grafting in 16 cases.Results Thirty-six patients were followed up for 3 months to 5 years after operation,no recurrence of aneurysm occurred in these patients.Subclavian artery occlusion was associated with brachial plexus injury occurred in one patient,with anastomotic stenosis in another patient.Conclusion Iatrogenic traumatic pseudoaneurysm increased year by year with the development of interventional therapy.Keep vigilance and awareness of post-traumatic pseudoaneurysm could upgrade the diagnosis and treatment of pseudoaneurysm.