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感染性假性股动脉瘤61例治疗分析 被引量:18

Surgical treatment of femoral artery infected false aneurysms:an analysis of 61 cases
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摘要 目的探讨动脉瘤切除和动脉结扎治疗创伤后感染性假性股动脉瘤的作用。方法回顾性分析2001年1月至2006年12月中山大学附属第一医院收治的62例因吸毒致创伤后感染性假性股动脉瘤的治疗经过。采用腹股沟韧带上方切口,经腹膜后控制髂外动脉,并在动脉瘤远端暴露股浅动脉,切除动脉瘤,局部清创和血管结扎。结果无术后死亡,无术后大出血及截肢。平均随访32个月(3个月至4年),2例有轻度的间歇性跛行。结论创伤后感染性假性股动脉瘤须紧急手术治疗。动脉瘤切除、动脉结扎和彻底的局部清创治疗创伤后感染性假性股动脉瘤安全、有效,且手术操作相对简单。 Objective To evaluate the outcome of the excision of the aneurysm with femoral artery ligation and local debridement, without any revascularization in surgical management of post-traumatic femoral artery infected false aneurysms (pfa-IFA). Methods The clinical data of 61 cases of pfa-IFA admitted between January 2001 and December 2006 were analyzed retrospectively. Clamping of the external iliac artery was achieved retroperitoneally through an Oblique suprainguinal incision. Distal superficial femoral artery was controlled through middle of thigh incision. All the cases were performed the excision of the false aneurysm with ligation of vessels and local debridement. Results There was no hemorrhage, amputation or mortality in the cases. The duration of follow-up ranged from 3 to 48 months ( mean 32 months). Two cases had mild claudication. Conclusion Ligation of artery and wide debridement without immediate revascularization is an easy, effective and safe management for pfa-IFA.
出处 《中国实用外科杂志》 CSCD 北大核心 2007年第7期531-533,共3页 Chinese Journal of Practical Surgery
关键词 假性股动脉瘤 感染性动脉瘤 femoral artery false aneurysms infected aneurysm
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参考文献9

  • 1Reddy DJ,Ernst CB.Infected aneurysms[M]//Rutherford RB.Vascular Surgery.5th ed.Philadelphia:WB Saunders Company,2000:1383. 被引量:1
  • 2李晓曦,常光其,陈生,吕伟明,王深明.创伤性动脉瘤的治疗[J].创伤外科杂志,2002,4(3):152-154. 被引量:9
  • 3常光其,王深明,李晓曦,李松奇,胡作军,吕伟明.注射毒品所致假性股动脉瘤的外科治疗[J].中国实用外科杂志,2001,21(9):542-543. 被引量:36
  • 4Naqi SA,Khan HM,Akhtar S,el al.Femoral pseudoaneurysm in drug addicts-excision without revascularization is a viable option[J].Eur J Vasc Endovasc Surg,2006,31(6):585-587. 被引量:1
  • 5Arora S,Weber MA,Fox CJ,et al.Common femoral artery ligation and local debridement:a safe treatment for infected femoral artery pseudoaneurysms[J].J Vasc Surg,2001,33(5);990-994. 被引量:1
  • 6Ting AC,Cheng SW.Femoral pseudoaneurysms in drug addicts[J].World J Surg,1997,21(8):783-784. 被引量:1
  • 7McCready RA,Bryant MA,Divelbiss JL,et al.Arterial infections in the new millenium:an old problem revisited[J].Ann Vasc Surg,2006,20(5):590-595. 被引量:1
  • 8Bell CL,Ali AT,Brawley JG,et al.Arterial Reconstruction of Infected Femoral Artery Pseudoaneurysms Using Superficial Femoral-Popliteal Vein?[J].J Am Coll Surg,2005,200(6):831-834. 被引量:1
  • 9Lazarides MK,Georgiadis GS,Polychronidis A,et al.Surgical treatment of femoral artery infected false aneurysms in drug abusers[J].ANZ J Surg,2005,75(11):1005-1006. 被引量:1

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