17例假性动脉瘤诊治研究

The diagnosis and treament of pseudoaneurysm in 17 cases

目的探讨常见假性动脉瘤的诊治方法。方法对17例2007年1月至2011年12月假性动脉瘤患者的临床资料进行回顾性分析。其中介入等医源性所致患者10例,毒品注射所致患者6例,外伤所致患者1例;肱动脉假性动脉瘤2例,股动脉假性动脉瘤15例。直接压迫治疗1例,其余均行手术治疗,均清除瘤体,其中补片修补3例,人工血管转流7例,自体大隐静脉转流2例,自体股浅静脉分支转流4例。结果术后除1例因家属放弃自动出院后死亡外,无其他死亡病例,所有患者症状体征均明显缓解,术后随访未发生肢体严重缺血导致截肢的病例。结论假性动脉瘤术中血管重建对于患者远期的生活质量能起到明显的改善作用。

Objective To evaluate the diagnosis and treatment of pseudoaneurysm .Methods The clinical data of 17 cases of pseudoaneurysm from Jan .2007 to Dec .2011 were reviewed retrospectively ,10 cases were caused by iatrogenic ,6 cases were drug caused by injection of poison ,and 1 case was was caused by trauma .2 cases of brachial artery pseudoaneurysm ,and 15 cases of arte-ria femoralis pseudoaneurysm .1 case was treated by simple compressive therapy ,the other 16 underwent surgical treatment and the pseudoaneurysm was removed ,in which 3 cases were treated by artery patch repair ,7 were treated by bypass with prosthetic grafts , 2 were treated by bypass with saphenous vein ,4 were treated by bypass with superficial femoral vein branch .Results There was no death except 1 case died because her family gave up ,All patients with signs and symptoms were significantly alleviated ,and there was no severe ischemia limb leading to amputation in postoperative follow-up .Conclusion The revascularization of the artery in pseudoaneurysm patients can make a significant improvement in the long-term quality of life .