周围动脉瘤128例诊治体会

报告１２８例周围动脉瘤，其中以创伤所致者最多，病变位于下肢者６８例。周围动脉瘤有诸多并发症，其中以溃破大出血最为严重（２２例）。因此，动脉瘤一旦确诊应限期手术，并尽量重建血循环。囊内修补适用于涉及部分动脉壁的假性或囊性动脉瘤；人工血管移植适用于中等大以上的动脉；自体静脉移植适用于中小动脉。凡动脉瘤体能够切除或局部炎症严重者必须切除。血管移植阻断血运时宜行全身肝素化，术后恰当的引流也很重要。周围动脉瘤若能选择恰当的手术方法均可获得良好的疗效。

CLINICAL TREATMENT OF PERIPHERAL ANEURYSM (REPORT OF 128 CASES)

One hundred and twenty-eight cases of peripheral aneurysm were reported. Traumatic pseudoaneursyms (87cases) dominated and aneurysm in lower extremities (68 cases) consisted of most of the cases. Rupture of aneurysm and massive kaemomhage is the most serious complications (22 cases in the report). Therefore, operative treatment should be performed soon after the diagnosis is ascertained. Resteration of normal blood flow should be the aim. Intracystic repairation is indicated in pseudoaneurysm with part of the vascular wall invaded. Artificial graft may be indicated for aneurysm of the middle and large artery, and autovenous graft for the smaler arteries. Aneurysm may be resected if the procedure is easy to perform or there is severe inflammation around the aneurysm. Proper postoperative drainage is important. General heparinization during blockade of local circulation is also important in case of vascular grafting. We concluded that proper selection of operative procedure is essential for better prognosis.