注射毒品所致假性股动脉瘤的外科治疗

目的 探讨注射毒品所致假性股动脉瘤的外科治疗方法。方法 对13例注射毒品所致假性股动脉瘤患者的临床资料进行回顾分析。13例病人均接受手术治疗。手术方式包括：瘤体切除 动脉破口修补术1例；瘤体切除 血管移植12例(移植血管包括自体大隐静脉、人造血管)。结果 全部病例保肢成功。血管移植术后复查彩色多谱勒超声显示，移植血管通畅。结论 彻底清创、血管重建、恰当处理并发症是注射毒品所致假性股动脉瘤外科治疗取得成功的关键。

Surgical Treatment of the Femoral Pseudoaneurysm Resulted from Drugs Injection

Objective To evaluate surgical mangement of femoral pseudoaneurysm caused by injection of addictive drugs. Methods The clinical data of 13 cases with femoral pseudoaneurysm resulted from drugs injection were retrospectively analyzed. All cases underwent operation treatment. 1 case received aneurysmectomy and lacerative repair, and 13 cases received aneurysmctomy and vascular grafting. The grafts included autogenous saphenous vein, artificial blood vessel and so on. Results The postoperative color ultrasound Doppler detection showed that all of the vascular grafts were patent, and the limbs of all the 13 patients were salvaged. Conclusion Complete debridement,vascular reconstruction and proper treatment of complications were the key factors of treating successfully the femoral pseudoaneurysm resulted from drugs injection.