周围动脉假性动脉瘤

PERIPHERAL PSUDOANEURYSMS

本文报告我院1957～1991年收治的35例周围动脉假性动脉瘤的诊治经验。男34例,女1例。年龄为7～62岁。动脉瘤位于头颈部者9例,位于四肢者26例。外伤所致者27例(其中医源性损伤4例),其它原因4例,病因不明或记载不详4例。主要临床表现为:局部博动性肿块(34例)、收缩期血管杂音(33例)、局部疼痛(15例)、患肢感觉异常(18/26)及运动障碍(12/26)。术前诊断正确率动脉造影为50％,超声检查为100％。手术治疗34例。急诊手术1例,择期性手术33例。择期手术无手术死亡。术后随访率为75.8％。随访病人中92％病人随访时间为5～18年,其中效果优良者为92％,失败8％。本文对周围动脉假性动脉瘤诊断治疗中的注意点进行了讨论。

From 1957 to 1991,thirty-five patients with peripheral psudoaneurysms were adimitted to the Xiang Ya Hospital. Of 35 patients, there were 34 males and 1 female and ages ranged from 7～62 years. Among those patients, the aneurysms were located in the head and neck in 9 cases,and in the extremeties in 26. The aneurysms were caused by trauma in 27 cases (including iatrogenic injury in 4 cases),syphilis in 3,infections in 1,and unknown etiology in 4,The main clinical presentation were as follows;expansile mass in 34 cases,systolic murmur over the mass in 33, local pain in 15,sensation abnormality on affected extremeties in 69. 3% of cases (8/26), mobility abnormality on affected, extremeties in 45. 2% of cases(12/26). The accurate diagnostic rate of arterographv was 50%,and BUS was 100% in patients examined before operation. In this series, 33 patients underwent elective operation with no death, 1 underwent emergency operation and died during operation. Of 33 patients who survived postoperatively, twenty-five (75. 8%)were followed up for 0. 5～18 years, and the results were excellent or good in 23 cases,and failure in 2.