股动脉瘤切除术39例报告

ANEURYSMECTOMY FOR FEMORAL ARTERY ANEURYSM IN 39 CASES

本文报告1957～1990年期间切除的39例股动脉瘤。此病可因动脉硬化、外伤、感染等原因所引起。手术处理的原则为:假性动脉瘤,可先作股动脉破口修补术;真性动脉瘤则作血管重建。作者认为血管代用品的选择顺序应是:自体大隐静脉,聚四氟乙烯人造血管,涤纶或真丝人造血管。股动脉瘤的手术疗效较佳。

During the last 23 years, femoral artery aneurysmectomy was performed in 39 cases. Of them 24 were false aneurysms and 15 true aneurysms. Suture of the ruptured artery was done in false aneurysm and resection of aneurysm and arterial reconstruction was for true aneurysm. The authors point out that autogenous saphenous vein is the graft of choice. When saphenous vein is not available, polytetrafluoroethylene prosthesis and dacron or pure silk prosthesis may be used. The results of femoral artery aneurysmectomy were 2 died of complications, 3 had recurrence of aneurysm and the rest had patent femoral artery without recurrence.