选择性血管重建术治疗感染性股动脉假性动脉瘤的临床研究

Clinical research about using selective revascularization treatment to cure infectious femoral artery Pseudoaneurysm

目的探讨选择性血管重建术治疗感染性股动脉假性动脉瘤,以期提高临床治疗水平。方法回顾性分析2001年3月-2013年3月18例感染性股动脉假性动脉瘤患者,将其随机分成两组,对照组9例患者切除瘤体后行药物治疗,观察组9例患者切除瘤体后再予以选择性血管重建术治疗,比较两组治疗后临床效果;采用SPSS13.0软件进行分析。结果对照组的显效率为11.11%、总有效率为33.33%、恶化率为44.45%,观察组的显效率为44.45%、总有效率为66.68%、恶化率为11.11%,两组比较差异有统计学意义(P<0.05);两组治疗前在麻木、静息痛、溃疡数目以及在踝肱指数、间跛距离比较差异无统计学意义,而治疗后与治疗前比较均有明显改善,差异有统计学意义(P<0.05)。结论选择性血管重建术由注射毒品所致的感染性股动脉假性动脉瘤安全可靠,术中通过夹闭髂外动脉或股动脉后,检测足背动脉的血流信号判断是否需要重建血管方法简单,有效地改善患肢的缺血,提高治疗的临床效果。

OBJECTIVE To investigate the selective revascularization treatment to cure infectious femoral artery Pseudoaneurysm ,so as to improve the level of clinical treatment .METHODS A retrosPective analysis of 18 Patients with septic femoral artery Pseudoaneurysm from Mar .2001 to Mar .2013 was taken ,and patients were divided into two groups ,control group with 9 Patients underwent resection of the tumor drug treatment ,and observation group with 9 patients given selective revascularization treatment after tumors resection . The two effects were compared .SPSS13 .0 software was used for statistical analysis .RESULTS From a clinical effect ,the effective rate of the control group was 11 .11% ,total effective rate was 33 .33% ,deterioration rate of 44 .45% ;Observation group ,the total effective rate was 44 .45% ,total effective rate was 66 .68% ,deterioration rate of 11 .11% .There were significant differences in two groups （P〈0 .05）;Before treatment ,numbness ,rest pain , ulcers ,as well as in the number of ankle-brachial index in two groups has no difference ,while compare after and before the treatments there was obvious improvement ,with significance （P〈0 .05） .CONCLUSION Using selective revascularization treatment to cure femoral artery Pseudoaneurysm caused by the injecting drug is safe and reliable . it is easy to test whether need to rebuildblood vessels from blood flow signal of arteria dorsalis pedis with clipping arteria iliaca externa or arteria cruralis ,which could effectively improve limb ischemia and improve the treatment of clinical results .