Limb Pseudoaneurysms Clinical Diagnosis and Treatment(Report of 30 Cases)_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

徐健 , 陈建华 , 马文锋 , 张健 , 段志泉 , 辛世杰

Corresponding author：

Keywords：

假性动脉瘤; 外科治疗; 股动脉; 大隐静脉

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的　探讨肢体假性动脉瘤的病因、发病机理以及手术方式的选择，评价各种手术的治疗效果，以提高对假性动脉瘤的诊治水平。
方法　30例假性动脉瘤患者（股动脉18例，腘动脉7例，肱动脉2例，桡动脉3例），其中8例为感染或破裂性假性动脉瘤，1例肢体坏死。30例患者均行外科手术治疗,其中11例行假性动脉瘤破口修补术，2例行股动脉结扎术，2例行血管端端吻合术，8例行自体大隐静脉移植术，6例行人工血管移植术，1例行截肢术。
结果　30例患者术后恢复顺利，除1例行下肢截肢术外，其余29例术后效果良好。随访7个月～8年,平均(4.4±2.3）年；行人工血管移植术者4例移植段发生血栓，经溶栓治疗后好转，其余血供状况良好。
结论　外科手术治疗肢体假性动脉瘤是一种有效的方法。

Citation： 徐健,陈建华,马文锋,张健,段志泉,辛世杰. Limb Pseudoaneurysms Clinical Diagnosis and Treatment(Report of 30 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(10): 845-846. doi: Copy

1.	Perez-Cruet MJ, Patwardhan RV, Mawad ME, et al. Treatment of dissecting pseudoaneurysm of the cervical internal carotid artery using a wall stent and detachable coils: case report [Ｊ]. Neurosurgery, 1997; 40(3): 622-625.
2.	Sedwitz MM, Hye RJ, Stabile BE. The changing epidemiology of pseudoaneurysm. Therapeutic implications [Ｊ]. Arch Surg, 1988; 123(4): 473-476.
3.	刘正军, 汪忠镐. 医源性假性动脉瘤的诊治 [Ｊ]．中华外科杂志， 1998； 36(2): 91-92.
4.	Gareis R. Nonsurgical therapy of iatrogenic aneurysm spurium [Ｊ]. Dtsch Med Wochenschr, 2003; 128(13): 688.
5.	Lin PH, Dodson TF, Bush RL, et al. Surgical intervention for complications caused by femoral artery catheterization in pediatric patients [Ｊ]. J Vasc Surg, 2001; 34(6): 1071-1078.
6.	陈润祥，邵磊．医源性假性动脉瘤的临床分析 [Ｊ]．医药论坛杂志， 2005； 26（21）： 31-32.
7.	Tsao JW, Marder SR, Goldstone J, et al. Presentation, diagnosis, and management of arterial mycotic pseudoaneurysms in injection drug users [Ｊ]. Ann Vasc Surg, 2002; 16(5): 652-662.
8.	Manekeller S, Tolba RH, Schroeder S, et al. Analysis of vascular complications in intra-venous drug addicts after puncture of femoral vessels [Ｊ]. Zentralbl Chir, 2004; 129(1): 21-28.
9.	Schwartz RA, Kerns DB, Mitchell DG. Color Doppler ultrasound imaging in iatrogenic arterial injuries [Ｊ]. Am J Surg, 1991; 162(1): 4-8.
10.	Múnera F, Soto JA, Palacio DM, et al. Penetrating neck injuries: helical CT angiography for initial evaluation [Ｊ]. Radiology, 2002; 224(2): 366-372.
11.	Ramsay DW, McAuliffe W. Traumatic pseudoaneurysm and high flow arteriovenous fistula involving internal jugular vein and common carotid artery. Treatment with covered stent and embolization [Ｊ]. Australas Radiol, 2003; 47(2): 177-180.
12.	杨谦，杨辉，吴刚，等． 17例假性动脉瘤的外科治疗 [Ｊ]．中国微创外科杂志， 2007； 7（12）: 1227-1228.
13.	陈力，陈华，田华，等．假性动脉瘤的临床诊治 [Ｊ]．中华全科医师杂志， 2004; 3（1）: 68.
14.	吕建彪, 马烈, 胡爱莲．周围性假性动脉瘤的外科治疗 [Ｊ]．实用临床医学， 2006； 7（10）： 114-115.
15.	郑江华，陈开，武国，等．感染性股动脉假性动脉瘤的外科治疗 [Ｊ]．中国普外基础与临床杂志， 2009； 16(4)： 296-299.
16.	倪良宏，郭劲松，唐军建，等．四肢动脉损伤诊治体会 [Ｊ]．中国普外基础与临床杂志， 2007； 14（6）： 705-706.
17.	方伟，郭曙光，陈翠菊，等．毒品注射致假性动脉瘤急性破裂出血的处理经验 [Ｊ]．中国普外基础与临床杂志， 2006； 13（4）： 452-453.
18.	Naqi SA, Khan HM, Akhtar S, et al. Femoral pseudoaneurysm in drug addicts-excision without revascularization is a viable option [Ｊ]. Eur J Vasc Endovasc Surg, 2006; 31(6): 585-587.
19.	Li JW, Wang SM, Chen XD. Management of femoral artery pseudoaneurysm due to addictive drug injection [Ｊ]. Chin J Traumatol, 2004; 7(4): 244-246.

1. Perez-Cruet MJ, Patwardhan RV, Mawad ME, et al. Treatment of dissecting pseudoaneurysm of the cervical internal carotid artery using a wall stent and detachable coils: case report [Ｊ]. Neurosurgery, 1997; 40(3): 622-625.
2. Sedwitz MM, Hye RJ, Stabile BE. The changing epidemiology of pseudoaneurysm. Therapeutic implications [Ｊ]. Arch Surg, 1988; 123(4): 473-476.
3. 刘正军, 汪忠镐. 医源性假性动脉瘤的诊治 [Ｊ]．中华外科杂志， 1998； 36(2): 91-92.
4. Gareis R. Nonsurgical therapy of iatrogenic aneurysm spurium [Ｊ]. Dtsch Med Wochenschr, 2003; 128(13): 688.
5. Lin PH, Dodson TF, Bush RL, et al. Surgical intervention for complications caused by femoral artery catheterization in pediatric patients [Ｊ]. J Vasc Surg, 2001; 34(6): 1071-1078.
6. 陈润祥，邵磊．医源性假性动脉瘤的临床分析 [Ｊ]．医药论坛杂志， 2005； 26（21）： 31-32.
7. Tsao JW, Marder SR, Goldstone J, et al. Presentation, diagnosis, and management of arterial mycotic pseudoaneurysms in injection drug users [Ｊ]. Ann Vasc Surg, 2002; 16(5): 652-662.
8. Manekeller S, Tolba RH, Schroeder S, et al. Analysis of vascular complications in intra-venous drug addicts after puncture of femoral vessels [Ｊ]. Zentralbl Chir, 2004; 129(1): 21-28.
9. Schwartz RA, Kerns DB, Mitchell DG. Color Doppler ultrasound imaging in iatrogenic arterial injuries [Ｊ]. Am J Surg, 1991; 162(1): 4-8.
10. Múnera F, Soto JA, Palacio DM, et al. Penetrating neck injuries: helical CT angiography for initial evaluation [Ｊ]. Radiology, 2002; 224(2): 366-372.
11. Ramsay DW, McAuliffe W. Traumatic pseudoaneurysm and high flow arteriovenous fistula involving internal jugular vein and common carotid artery. Treatment with covered stent and embolization [Ｊ]. Australas Radiol, 2003; 47(2): 177-180.
12. 杨谦，杨辉，吴刚，等． 17例假性动脉瘤的外科治疗 [Ｊ]．中国微创外科杂志， 2007； 7（12）: 1227-1228.
13. 陈力，陈华，田华，等．假性动脉瘤的临床诊治 [Ｊ]．中华全科医师杂志， 2004; 3（1）: 68.
14. 吕建彪, 马烈, 胡爱莲．周围性假性动脉瘤的外科治疗 [Ｊ]．实用临床医学， 2006； 7（10）： 114-115.
15. 郑江华，陈开，武国，等．感染性股动脉假性动脉瘤的外科治疗 [Ｊ]．中国普外基础与临床杂志， 2009； 16(4)： 296-299.
16. 倪良宏，郭劲松，唐军建，等．四肢动脉损伤诊治体会 [Ｊ]．中国普外基础与临床杂志， 2007； 14（6）： 705-706.
17. 方伟，郭曙光，陈翠菊，等．毒品注射致假性动脉瘤急性破裂出血的处理经验 [Ｊ]．中国普外基础与临床杂志， 2006； 13（4）： 452-453.
18. Naqi SA, Khan HM, Akhtar S, et al. Femoral pseudoaneurysm in drug addicts-excision without revascularization is a viable option [Ｊ]. Eur J Vasc Endovasc Surg, 2006; 31(6): 585-587.
19. Li JW, Wang SM, Chen XD. Management of femoral artery pseudoaneurysm due to addictive drug injection [Ｊ]. Chin J Traumatol, 2004; 7(4): 244-246.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Limb Pseudoaneurysms Clinical Diagnosis and Treatment(Report of 30 Cases)

Abstract Full text Figures/Tables Video References Cited by

Format

Content