摘要
目的探讨注射毒品所致感染性股动脉瘤的外科处理方法。方法回顾分析28例注射毒品所致感染性股动脉瘤的临床资料。本组均表现为腹股沟部红肿疼痛肿块,24例伴搏动性,26例破裂出血;25例术前经彩超检查,4例CT检查;19例踝肱指数(ABI)0.48-0.70(平均0.61)。25例行急诊手术,3例择期手术,手术均采用髂外动脉、股浅动脉及股深动脉结扎、清创术。结果本组无手术死亡及肢体坏死,术后19例ABI0.41-0.69(平均0.51)。出院后随访19例(3个月-30个月,平均9个月)均有不同程度下肢间歇性跛行,其中4例病人于伤口愈合4个月至10个月后行股动脉重建,术后间歇性跛行消失。结论动脉结扎清创术治疗注射毒品所致感染性股动脉瘤简单、有效而安全,术后下肢间歇性跛行明显者可行二期股动脉重建术。
Objective The management of infected femoral artery aneurysm（IFAA） by drug injection is difficult and controversial. This paper is to evaluate the methods and the results of surgical treatment of IFFA by drug injection. Methods A retrospective review of 28 cases with IFFA by drug injection was performd. All the patients presented the mass with pain and swelling over the groin, 24 cases with pusatile and 26 cases with hemorrhage. The colour ultrasound were performed in 25 cases and CT scan in 4 cases. Ankle brachial index （ABI） was checked in 19 cases（0.48-0.70, mean 0.61） before operation. 25 patients underwent emergency operation and 3 elective operation. The ligation of external iliac artery, superficail femeral artery and deep femoral artery with debridement were performed in all patients. Results There were no mortality and no amputation in the group. The postoperative ABI was 0.41-0.69（mean 0.51） in those 19 cases. 19 patients were followed-up for 3 to 30 months （mean 9 months） after discharge and suffered various degree of intermittent clandication. Among them, 4 patients underwent femoral artery reconstruction after 4 months to 10 months of the wound healing and recovered from intermittent claudication. Conclusion The artery ligation with debridement is simple, effective and safty and late revascnlarisation should be operated in the case with severe intermittent claudication.
出处
《海南医学》
CAS
2008年第11期4-6,共3页
Hainan Medical Journal
关键词
股动脉瘤
感染性
外科手术
Femoral artery aneurysm
Infected
Surgical treatment
