摘要
本文报道了作者治疗假性动脉瘤11例的体会。讨论假性动脉瘤一旦明确诊断,应及时手术治疗;动脉造影术对于诊断可提供可靠依据;动脉壁横形伤口行单纯动脉壁修补术;纵形伤口,少于管周径二分之一行补片移植修复术;严重挫裂伤和撕裂伤行人造血管或自体大隐静脉间置移植术;分支动脉、终末支动脉假性动脉瘤行单纯缝扎和结扎术。
From Jan.1988 to Dec.1992,11 patients with pseu- doaneurysm were treated surgically at our hospital.The results were excellent in all patients with a mean follow- up period of 37.6 months.Once the diagnosis of pseu- doaneurysm was made,emergency surgery was necessary to prevent rupture.Angiography is crucial for the diag- nosis.The surgical technique depends on the location of the aneurysm.Small,single,peripheral false aneurysm of the radial or tibial arteris could be safely ligated,if re- pairing is with dificulty.A small opening leading fo a saccular aneurysm may he closed by lateral arteriorrha- phy.When there is circumferential loss of less than half arterial substance,autogenous vein patch are used.While there is a severe straining or tearing of the arterial wall, in large aneurysm,interposition of a Gore-tex prothesis have to be used.
出处
《普外临床》
CSCD
1995年第1期44-46,共3页
