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find Keyword "假性动脉瘤" 27 results
  • 骶髂螺钉植入术后臀上动脉假性动脉瘤形成二例

    Release date:2025-03-14 09:43 Export PDF Favorites Scan
  • VASCULAR RECONSTRUCTION OF INFECTED PSEUDOANEURYSM IN 17 DRUG ADDICTS

    Objective To evaluate surgical treatment of infected pseudoaneurysm (PA) caused by injection of addictive drugs. Methods The clinical data of 17cases of infected PA caused by drug injection were reviewed retrospectively. Ofthem, 1 case was female, and the other 16 cases were male, aging 24-38 years. The locations were brachial artery in 1 case and femoral artery in 16 cases. Fourteen cases were treated by artificial blood vessel transplantation after resection of the aneurysm and radical debridement, 1 case by amputation for serious infection, and 2 cases by non-operation for different reasons. Results Among 14 cases treated by prosthetic grafts, 13 cases achieved satisfactory results, no blood drawback of lower extremity occurred after operation; 1 case had to be amputated for serious infection. After 3 months of operation, the color Doppler examination showed that the 9 artificial vessel grafts were patent and the pulse of arteria dorsal pedis was good. Conclusion Though artificial vessel grafting has high risk in the vicinity of infected PA, it is still an effective procedure for revascularization in condition that there is no suitable autogenous conduit available for auto transplantation. Sufficient drainage, anti-infection and anti-coagulation therapy should be the key factors after the operation.

    Release date:2016-09-01 09:30 Export PDF Favorites Scan
  • 介入栓塞治疗一例医源性椎动脉损伤致假性动脉瘤

    Release date:2017-06-15 10:04 Export PDF Favorites Scan
  • 股骨粗隆间骨折内固定术后并发股深动脉假性动脉瘤一例

    目的总结1例股骨粗隆间骨折内固定术后并发股深动脉假性动脉瘤诊治体会。 方法2011年10月收治1例摔伤致右侧股骨粗隆间骨折的女性患者,年龄78岁。入院后采用股骨近端防旋髓内钉(proximal femoral nail antirotation,PFNA)行骨折复位内固定术。术后第9天出现患侧大腿疼痛并逐渐加重,血红蛋白降低。第13天B超检查示右大腿前侧包块。急诊行右下肢超选择性血管造影术,示股深动脉第2穿支远端假性动脉瘤形成。用弹簧圈行第2穿支动脉栓塞术。 结果栓塞术后患侧大腿疼痛明显减轻,肿胀逐渐消退,顺利出院。患者获随访2年,右股骨粗隆间骨折完全愈合,患侧髋关节功能Harris评分为优。 结论股骨粗隆间骨折内固定术后如出现不明原因患侧大腿疼痛、肿胀、血红蛋白进行性下降等,应警惕假性动脉瘤的发生,行选择性血管造影术明确并选择相应治疗方法。

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  • 注射毒品致股动脉假性动脉瘤破溃感染的治疗

    目的 总结注射毒品致股动脉假性动脉瘤破溃感染的外科治疗方法。方法 1994年3月~2004年10月,共收治因毒品注射致股动脉假性动脉瘤形成并破溃感染患者17例。男15例,女2例;年龄18~45岁。吸毒史2个月~10年,静脉注射史吸毒2~15个月,皮肤坏死1~6个月。皮肤坏死直径2~5cm,B超示包块大小15cm×10cm×8cm~18cm×13cm×10cm。急诊手术4例,择期手术13例。3例行人造血管移植,5例行远近端血管结扎,5例行静脉移植,2例动脉裂口直接缝合,2例行股深动脉移植。结果 术后可触及足背动脉搏动恢复2例,增强3例。切口Ⅰ期愈合6例,Ⅱ期愈合8例,3例出现伤口感染。15例获随访3~18个月,2例同侧大隐静脉远端移植及2例人造血管移植者经B超检查示移植血管栓塞,5例血管腔(1例人造血管、2例自体静脉移植、2例动脉裂口直接缝合)变狭窄。随访者均基本恢复正常生活。结论 注射毒品致股动脉假性动脉瘤形成并破溃感染患者,需手术治疗,争取择期手术,针对假性动脉瘤破溃时间超过1个月者,可考虑行远近端血管结扎术。

    Release date:2016-09-01 09:20 Export PDF Favorites Scan
  • 覆膜支架治疗难治性股动脉假性动脉瘤的探讨

    目的探讨覆膜支架置入治疗难治性股动脉假性动脉瘤的有效性及其安全性。方法2012 年 8 月至 2017 年 8 月期间,河西学院附属张掖人民医院血管外科共收治了 26 例难治性股动脉假性动脉瘤患者,其中属外伤性股动脉假性动脉瘤 20 例,医源性股动脉假性动脉瘤 6 例;26 例中有 8 例合并股动-静脉瘘。26 例患者术前全部经彩超检查得以确诊,并在彩超引导下进行常规压迫或瘤腔内注射血凝酶治疗,但均未获成功,26 例患者最终改行股动脉覆膜支架置入术治疗,其中 4 例同期行血肿清除术,2 例行假性动脉瘤腔内穿刺引流术。结果全部患者一期置入覆膜支架均获成功,股动脉假性动脉瘤及动-静脉瘘均治愈,6 例患者股深动脉封闭,无手术死亡及严重并发症发生。术后 6 个月及 12 个月进行随访,26 例患者均无瘤体复发及支架移位、断裂、栓塞和内瘘发生。结论覆膜支架置入治疗难治性股动脉假性动脉瘤是安全、有效、微创的方法,其短期效果满意,远期疗效有待进一步观察。

    Release date:2019-06-26 03:20 Export PDF Favorites Scan
  • 外伤性主动脉弓部破裂巨大假性动脉瘤形成腔内修复术一例

    Release date:2016-08-30 05:45 Export PDF Favorites Scan
  • EFFECTIVENESS COMPARISON BETWEEN ENDOVASCULAR RECANALIZATION AND OPEN SURGICAL REVASCULARIZATION TO TREAT PERIPHERAL PSEUDOANEURYSM

    Objective To compare the effectiveness, complications, and follow-up results between endovascular recanalization (EVR) and open surgical revascularization (OSR) in the treatment of peripheral pseudoaneurysm, so as to provide a reference for choosing a appropriate surgical procedure. Methods Clinical data of 62 cases of peripheral pseudoaneurysm between January 2001 and January 2012 were analyzed retrospectively. EVR was performed in 28 patients (EVR group) and OSR in 34 patients (OSR group). There was no significant difference in gender, age, cause of injury, tumor location, and diameter of tumor between 2 groups (P gt; 0.05). Results The operation time, blood loss, ICU monitoring time, and hospitalization time in EVR group were significantly shorter than those in OSR group (P lt; 0.05). In OSR group, 12 cases (35.29%) had early postoperative complications, including 2 deaths due to acute respiratory distress syndrome, 5 cases of pulmonary infection, 3 cases of wound infection, and 2 cases of deep vein thrombosis; in EVR group, 2 cases (7.14%) had early postoperative complications, including 1 case of hematoma at puncture site and 1 case of thrombosis in stent. There was significant difference in early postoperative complication incidence between 2 groups (χ2=6.691, P=0.008). The patients were followed up 12-39 months (mean, 26 months). In OSR and EVR groups after operation, the patency rates of the reconstructed vessels were 96.88% (31/32) and 92.86% (26/28) respectively at 12 months, showing no significant difference (χ2=0.014, P=0.905); the patency rates were 89.29% (25/28) and 84.00% (21/25) respectively at 24 months, showing no significant difference (χ2=0.322, P=0.570). Conclusion Compared with OSR, EVR is a minimally invasive, safe, and effective therapy for peripheral pseudoaneurysm with the advantages of less bleeding, shorter hospitalization time, and less complications. Long-term effectiveness still needs further observation, and patients have to take antiplatelet drugs for long time after EVR.

    Release date:2016-08-31 04:07 Export PDF Favorites Scan
  • Limb Pseudoaneurysms Clinical Diagnosis and Treatment(Report of 30 Cases)

    目的 探讨肢体假性动脉瘤的病因、发病机理以及手术方式的选择,评价各种手术的治疗效果,以提高对假性动脉瘤的诊治水平。方法 30例假性动脉瘤患者(股动脉18例,腘动脉7例,肱动脉2例,桡动脉3例),其中8例为感染或破裂性假性动脉瘤,1例肢体坏死。30例患者均行外科手术治疗,其中11例行假性动脉瘤破口修补术,2例行股动脉结扎术,2例行血管端端吻合术,8例行自体大隐静脉移植术,6例行人工血管移植术,1例行截肢术。结果 30例患者术后恢复顺利,除1例行下肢截肢术外,其余29例术后效果良好。随访7个月~8年,平均(4.4±2.3)年; 行人工血管移植术者4例移植段发生血栓,经溶栓治疗后好转,其余血供状况良好。结论 外科手术治疗肢体假性动脉瘤是一种有效的方法。

    Release date:2016-09-08 10:56 Export PDF Favorites Scan
  • Modified method for intratumoral injection of thrombin for the treatment of iatrogenic pseudoaneurysms

    ObjectiveTo explore the value of modified method for intratumoral injection of thrombin in the treatment of iatrogenic pseudoaneurysms.MethodsClinical data of 28 patients with iatrogenic pseudoaneurysms after interventional treatment in our hospital from October 2012 to June 2018 were retrospectively analyzed. Twenty-one cases were treated with ultrasound-guided thrombin injection for pseudoaneurysms (Ultrasound group), and seven cases were treated with DSA-mediated balloon occlusion and thrombin injection for pseudoaneurysms (DSA group). The patients were followed-up at 1 day, 1 month and 3 monthS after operation.ResultsThe total success rates of the two groups were 100%. There was no treatment-related complications in the two groups. There was no recurrence after 1–3 months of treatment.ConclusionsIntratumoral injection of thrombin can be used for the treatment of iatrogenic pseudoaneurysm. The effect of the improved treatment is more significant. These two methods can be used as the best way to treat iatrogenic pseudoaneurysm with different neck diameters.

    Release date:2019-09-26 01:05 Export PDF Favorites Scan
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