人工血管移植治疗感染性假性股动脉瘤11例临床观察

[目的]探讨感染性假性股动脉瘤的外科治疗方法.[方法]对11例感染性假性股动脉瘤采用切除瘤体及周围炎性组织彻底清创后行人工血管移植治疗,其中4例采用原位移植,7例采用旁路移植.[结果]11例全部保肢成功.其中1例原位移植者出现吻合口感染漏再次手术改行人工血管旁路移植,经3～24个月随访,移植血管通畅.[结论]感染性假性股动脉瘤患者彻底清创后采用人工血管移植治疗简单有效.

Clinical Analysis on the Treatment of Infected Femoral Artery Pseudoaneurysm by Artificial Vascular Graft

[Objective] To evaluate surgical management of infected femoral pseudoaneurysm.[Methods]11 cases underwent operative treatment including removing of infected femoral pesudoaneurysm,exhaustive debridement and e-PTFE graft.4 cases among them underwent original graft,and 7 cases underweng bypass graft(end-to-side).[Results]The limbs of all the patients were salvaged successfully.1 case after undergoing saphenous vein autotransplant in situ presented anastomotic burst and bleeding and was successfully treated again by e-PTFE graft.All of the patients were followed up from 3 to 24 months,and all of the grafted vessels were patent.[Conclusion]The operative treatment of removing of infected femoral pesudoaneurysm,exhaustive debridement and e-PTFE graft is an effective procedure for managing infected femoral pseudoaneurysm.