创伤性周围假性动脉瘤的外科治疗分析

目的　探讨创伤性周围假性动脉瘤的诊断和治疗方法。方法　回顾性分析 5 8例创伤性周围假性动脉瘤。均手术治疗 ,其中动脉重建 17例 ,直接修补 2 9例 ,补片修补 6例 ,动脉结扎6例。结果　死亡 1例 ,其余 5 7例术后痊愈出院。随访 3 5例 ,均未截肢或出现脑缺血症状 ,3例移植血管闭塞 ,其余均保持通畅。结论　凡损伤性假性动脉瘤的诊断一经确定 ,应行手术治疗 ,以避免并发症的发生。阻断动脉血流是手术成败的关键 ,使用Fogarty导管简便易行 ,介入法置入气囊导管 ,也可阻断血流。防止假性动脉瘤的发生的最好方法是创伤早期对血管损伤的正确处理。

Surgery treatment of traumatic peripheral false aneurysm

ObjectiveTo study the diagnosis and treatment of traumatic peripheral false aneurysm.MethodsThe clinical data of 58 cases of traumatic peripheral false aneurysm from October 1989 to April 2003 were retrospectively analyzed.The main reasons for injury were as follows:the sharp injury,stab by the fractured bone,the injury from bullet and iatrogenic injury.All patients were subjected to surgical operations:arterial reconstruction in 17 cases,arterial repair in 29 cases,patch repair in 6 cases and legation in 6 cases.ResultsOne case dies due to massive hemorrhage and the remaining 57 cases recovered to leave hospital.Thirty-five cases were followed up and no amputation or ischaemia of limbs and cerebral ischemia condition occurred.The 3 transplant vessels were occlusive and the remaining patency.ConclusionOnce the diagnosis of traumatic false aneurysm is confirmed,the surgical operation should be made to avoid the occurrence of complications.It is important that arteries are blocked with Fogarty catheter and other bullon catheter.The best method to prevent false aneurysm is to deal with the traumatic blood vessel correctly in early period of trauma.