周围动脉医源性假性动脉瘤22例诊治体会

发布时间：2017-12-28 14:21

本文关键词：周围动脉医源性假性动脉瘤22例诊治体会　出处：《中国实用外科杂志》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨采用不同方法治疗不同类型周围动脉医源性假性动脉瘤的临床效果。方法辽宁省人民医院2010-2013年收治周围动脉医源性假性动脉瘤病人22例,根据假性动脉瘤直径及破口的大小及有无感染,将假性动脉瘤分为对Ⅰ、Ⅱa、Ⅱb以及Ⅲ型,15例Ⅰ型病人(假性动脉瘤直径3cm)采用制动、弹力绷带加加压包扎治疗;2例Ⅱa型病人(直径3 cm破口2cm)采用球囊临时阻断,凝血酶腔内注射疗法治疗,2例Ⅱb病人(直径3 cm且破口2 cm)采用覆膜支架腔内隔绝术;3例Ⅲ型病人(感染性假性动脉瘤)采用覆膜支架腔内隔绝术,一期脓腔清创引流,二期缝合的办法,所有病人随访6~32个月。结果Ⅰ型15例病人治疗成功14例,1例失败病人给予腔内覆膜支架植入术;Ⅱ型病人均一期封闭;Ⅲ型病人动脉瘤破口均一期封闭,伤口3个月内均愈合。所有病人平均随访22.3个月,无复发、内漏,支架移位、折断等并发症。结论根据假性动脉瘤不同类型选择治疗的策略,可用最小的代价更有效地治疗假性动脉瘤。
[Abstract]:Objective to explore the clinical effect of different methods for the treatment of pseudoaneurysms of different types of peripheral arteries. Methods 22 cases of people's Hospital of Liaoning province from 2010-2013 in peripheral arterial pseudoaneurysms patients, according to the diameter and rupture of pseudoaneurysm size and no infection, the pseudoaneurysm is divided into I, II A, B II and III, 15 cases of patients with type I (false aneurysm diameter 3cm) by braking, elastic bandage and compression bandaging treatment; 2 cases of patients with type IIA (diameter of 3 cm break 2cm) temporary occlusion by balloon, thrombin injection therapy, 2 cases of B patients (3 cm in diameter and break 2 cm) by stent graft endovascular repair; 3 cases of type III patients (infected false aneurysms) with stent graft, one-stage debridement and drainage of abscess, two suture method, all patients were followed up for 6~32 months. Results 14 cases of type 15 patients were treated successfully, 1 cases failed to receive endovascular stent graft placement, type II patients were closed at the same time, and patients with type III aneurysms were closed for one month, and all wounds healed within 3 months. All patients were followed up for an average of 22.3 months, without recurrence, internal leakage, stent displacement, fracture and other complications. Conclusion the treatment of pseudoaneurysm with different types of treatment can be used to treat pseudoaneurysm more effectively with the minimum cost.
【作者单位】：辽宁省人民医院血管外科;
【分类号】：R654.4
【正文快照】： 随着介入技术的广泛普及,由医源性损伤等原因导致的假性动脉瘤发病率有逐渐增高的趋势,而其中以发生在四肢动脉最为常见。传统外科手术治疗假性动脉瘤难度大、创伤大、风险高,笔者所在医院2010—2013年采用不同方法治疗四肢医源性假性动脉瘤病人22例。现报告如下。 1资料与

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