17例四肢创伤性假性动脉瘤的外科治疗

目的 探讨不同类型四肢创伤性假性动脉瘤的外科治疗方法。方法 回顾分析1990年1月—2006年4月收治的创伤性假性动脉瘤17例。，其中14例手术治疗，血肿清除后分别行血管侧壁缝合术7例，端端吻合术1例，人工血管移植术1例，自体血管移植术1例，近远端血管结扎4例。采用非手术治疗局部加压包扎3例。结果 本组患者无死亡或肢体坏死，治疗后临床症状消失。患者平均随访13.2个月，患肢功能良好。 结论 四肢创伤性假性动脉瘤诊断明确后，应根据不同类型采取不同的治疗方法。

Surgical management of traumatic false aneurysms in the extremities in 17 cases

Objective To review the surgical managements of patients with traumatic false aneurysms in the extremities. Methods From January 1990 to April 2006, 17 patients with traumatic false aneurysms in the extremities were admitted into our hospital. Fourteen patients were treated by vascular repair including vascular repair in seven cases, end to end anastomosis in one, synthetic grafting in one, autogenous vein grafting in one, and direct ligation in four. Three patients were treated nonoperatively, but with local compressive dressing. Results There were no deaths or gangrenes in all cases. The clinical manifestations vanished after the treatment. The mean follow-up period was 13.2 months. The function of the injured extremities recovered satisfactorily. Conclusion Different types of traumatic false aneurysms should be managed by different therapeutic procedures after the diagnoses is made.