摘要
目的:探讨感染性股动脉假性动脉瘤的外科治疗方法。方法:回顾性分析2006年1月至2010年12月期间我院收治的61例感染性股动脉假性动脉瘤患者的外科治疗资料。53例行人工血管旁路及瘤体切除治疗,8例行瘤体两端血管结扎瘤体切除。结果:随访3-36个月,人工血管旁路病例全部保肢成功,无间隙性跛行;行动脉结扎术者,1例因缺血坏疽行膝上截肢,7例保肢成功,3例出现间隙性跛行。结论:人工血管旁路及瘤体切除是感染性股动脉假性动脉瘤安全、有效的治疗方法。
Objective:To evaluate surgical treatment of infected femoral artery pseudoaneurysm.Methods:The data on surgical treatment of 61 patients with infected femoral artery pseudoaneurysm admitted from January 2006 to December 2010 were arlalyzed retrospectively.Fifty-three patients underwent operative treatment incIuding excision of infected femoral artery pseudoaneurysm,exhaustive debridement and bypass graft with vascular prosthesis.Eight patients were underwent removing of infected femoral artery pseudoaneurysm and ligating the proximal and distal artery of pseudoaneurysm.Results:The patients were foIlowed up from 3 to 36 months.The limbs of all the patients underwent bypass graft with vascular prosthesis were salvaged successfully,had not intermittent lameness.Three of eight patients performed ligation of artery was salvaged successfully but had severe intermittent lameness,another patient underwent high amputation above knee because of ischemic gangrene.Conclusion:For infected femoral artery pseudoaneurysm,the operative treatment inciuding excision of infected femoral artery pseudoaneurysm,exhaustive debridement and bypass graft with vascular prosthesis is effective and safe.
出处
《医学信息(中旬刊)》
2011年第4期1348-1349,共2页
Medical Information Operations Sciences Fascicule
关键词
股动脉
假性动脉瘤
人工血管
外科治疗
Pseudoaneurysm
Femoral artery
Vascular prosthesis
Surgical treatment