股浅动脉外伤性假性动脉瘤并股浅动静脉瘘1例

患者 ,男 ,40岁 ,2个月前被刀刺伤后发现左股内侧搏动性肿块 ,逐渐增大 ,来我院诊治。查体 :左股外侧见两处刀刺伤口已愈合 ,左股中段内侧可触及 10 .0ｃｍ× 8.0ｃｍ的搏动性肿物 ,皮温不高 ,无活动度 ,质韧 ,左足背动脉搏动减弱。外院行双股动脉ＣＴ平扫及增强诊断为 :左股动脉夹层动脉瘤。应用ＵｌｔｒａｍａｒＫ9彩色超声多普勒诊断仪 ,探头频率 3 .5ＭＨｚ/ 5 .0ＭＨｚ。彩色多普勒超声显示 :左股总动、静脉 ,股浅动、静脉近段内径正常 ,彩色血流充盈良好 ,呈五色镶嵌状 ,血流速度加快 ,股浅静脉可测及动、静脉混合频谱。股浅动脉前方…     

股浅动脉真性动脉瘤1例

患，男，75岁。因左腿凉、疼痛来院就诊。查体：左下肢温度较对侧低，末稍明显。皮肤颜色较暗，尤其小腿见深褐色斑片状色素沉着。表面无包块，无外伤。     

股浅静脉与股深静脉血栓形成差异的超声研究

目的 探讨股浅静脉与股深静脉在血栓形成上存在差异的血流动力学机制.方法 选择144例下肢深静脉血栓患者为研究对象,共观察下肢深静脉148条,统计分析股浅静脉血栓与股深静脉血栓在发病率及闭塞程度上是否存在差异.结果 148条下肢深静脉血栓中,股浅静脉完全闭塞及部分闭塞分别为139条及9条,股深静脉完全闭塞及部分闭塞分别为92条及47条,股浅静脉较股深静脉血栓发病率高(P<0.01),股浅静脉血栓形成导致血管闭塞程度较股深静脉重(P<0.01).结论 股浅静脉较股深静脉易患血栓且闭塞程度重与其距小腿较远,小腿肌肉收缩形成具有一定速度的血流在股浅静脉血流速度明显减低有关.     

彩超诊断股浅动静脉瘘1例

患者，男，32岁，2年前左侧大腿枪击穿通伤，伤口愈合后左下肢进行性肿胀、疼痛、麻木、乏力。临床体格检查发现：左下肢浅表静脉曲张、肿胀明显，伴色素沉着及皮损，于枪伤瘢痕处扪及博动，听诊闻及持续性收缩期加强的“嗡嗡”样杂音，     

股浅静脉窦环包术治疗下肢静脉曲张

下肢静脉曲张是常见外科疾病,多因瓣膜功能不全引起,且深静脉瓣尤然。目前已有多种手术方法,重建瓣膜功能。我院自1991—1993年间开展股浅静脉窦环包术治疗下肢静脉曲张20肢,方法简便易行,效果满意,值得推广。现介绍如下: 临床资料 1.性别与年龄:本组18例20肢,男16肢,女4肢。最大年龄64岁,最小35岁,平均55岁。 2.病史:最长时间38年,最短时间10年。双下肢     

股浅静脉内膜剥离超声表现一例

患者男,67岁。因左下肢浅静脉曲张伴小腿内侧皮肤反复溃疡3年就诊。门诊拟以大隐静脉曲张收入院准备手术治疗。查体：左下肢皮肤肿胀,色素沉着,小腿段静脉曲张明显,以内侧为著,小腿下段内侧皮肤局部溃破。超声检查显示：左下肢股浅静脉内径稍宽,内可见一平行线状回声,随血流摆动,使股浅静脉呈双腔（图1）,探头加压后管腔可变瘪;左下肢小腿段浅静脉屈曲扩张明显（图2）;     

急性股浅动脉支架内血栓形成的介入治疗

目的 探讨DSA引导下采用导引导管取栓和局部溶栓的方法,治疗下肢股浅动脉支架放置术后急性血栓的临床疗效.方法 2008年3月～2012年4月,8例下肢股浅动脉支架放置术后急性血栓形成患者,接受介入引导管取栓及局部溶栓治疗.结果 全组介入治疗成功率100％,无严重并发症.结论 DSA下导引导管取栓和局部溶栓治疗下肢动脉支架急性血栓形成,疗程短、成功率高、疗效显著、并发症少.     

超声诊断外伤性股浅动脉假性动脉瘤合并左股动静脉瘘1例

患者女,52岁,因左大腿股骨干骨折在外院治疗30 d,骨折愈合出院后,仍疼痛不减.体格检查:左大腿略肿胀,中部可扪及一肿物,质软,不活动,触及明显搏动;局部无压痛,听诊闻及隆隆样杂音.     

An ultrasonic measurement of superficial femoral artery wall thickness

An ultrasonic measurement of the superficial femoral artery wall thickness was performed on 16 volunteers. The measurement included all echogenic tissue between the lumen of the superficial femoral artery and the lumen of the superficial femoral vein. The average arterial wall plus vein wall thickness in volunteers with peripheral arterial disease was 2.13 +/- 0.87 mm, significantly greater than the 1.27 +/- 0.50 mm found in those without detectable peripheral arterial disease.     

Malignant fibrous histiocytoma arising from the superficial femoral artery.

Primary sarcomatous arterial tumors are rare. We have reported a case of malignant fibrous histiocytoma in an elderly woman successfully treated by resection of the involved femoral vessel and reconstruction with a PTFE graft. The long-term result in this patient is presently uncertain.     

超声在股浅静脉瓣膜戴戒术中的应用研究

目的 研究术中超声应用于股浅静脉瓣膜戴戒术治疗原发性下肢深静脉功能不全(PDVI)中的疗效和应用价值.方法 将经静脉顺行造影证实为原发性下肢深静脉瓣膜功能不全的88个病例分为A、B两组,两组均采用传统的股浅静脉瓣膜戴戒术加曲张静脉剥脱术,A 组术中加行超声辅助.以瓣膜反流持续时间评价即时效果,以临床病因-解剖-病理-生理(CEAP)临床分级与临床记分做随访评价疗效.结果 术中超声检测静脉反流持续时间戴戒后较戴戒前明显缩短;术后A、B两组临床分级与临床记分差值均有显著性差异( P < 0.01).结论 在股浅静脉瓣膜戴戒术中,超声检查进行辅助能够有效提高手术的针对性,增加手术效果.     

Covered stenting of the superficial femoral artery using the Viabahn stent-graft

High initial technical success rates for superficial femoral artery revascularization are possible using multiple modalities. For these interventions to pose a serious challenge to open surgical bypass, improved primary patency in mid- and long-term follow-up must be achieved. In several smaller studies, covered stenting of the superficial femoral artery has shown superior patency at 2 years after intervention. The ongoing VIBRANT trial randomizes patients to superficial femoral artery intervention with either bare nitinol stents or Viabahn covered stents. The 3-year outcomes data from this trial will better define the role of percutaneous intervention for complex superficial femoral artery disease.     

Pseudoaneurysm of the superficial femoral artery detected by emergency medicine bedside ultrasound

Background

Femoral artery pseudoaneurysm following by cardiac catheterization is a serious groin complication requiring careful assessment and prompt intervention.

Aims

Risk of femoral artery pseudoaneurysm is estimated at 0.6 to 17 following diagnostic and interventional procedures.

Methods

The clinical usage of bedside ultrasonography as part of the physical examination by attending emergency physicians has increased significantly over recent years.

Results

Bedside Emergency Department ultrasonography provides the clinician with critical information noninvasively, rapidly determining various anatomical structures.

Conclusions

We presented the case of a femoral artery pseudoaneurysm detected by the bedside emergency department ultrasonography secondary to angiographic catheterization.