摘要:目的:探討創(chuàng)傷性感染性假性股動(dòng)脈瘤的診斷和外科治療的臨床經(jīng)驗(yàn)。方法:回顧性分析２１例創(chuàng)傷性感染性假性股動(dòng)脈瘤的臨床資料,均行瘤體摘除及徹底的清創(chuàng)后,分別采用了血管結(jié)扎術(shù)和血管修復(fù)重建術(shù)兩種不同的手術(shù)治療方法。結(jié)果:血管修復(fù)重建術(shù)組中３例術(shù)后出現(xiàn)血管破裂大出血,要再次手術(shù),１５例行股動(dòng)脈結(jié)扎術(shù),全部保肢成功。結(jié)論:瘤體切除加血管移植術(shù)是一種理想的方法,但在無條件行血管移植時(shí),股動(dòng)脈結(jié)扎術(shù)可做為一種有效的方案,對(duì)伴有皮膚缺損者行對(duì)側(cè)胸臍皮瓣轉(zhuǎn)移術(shù)。
Abstract: Objective: 〖WT5”BZ〗To explore the traumatic infected femoral pseudoaneurysm diagnosis and surgical treatment of clinical experience. Methods: Retrospective analysis of 21 cases of traumatic infected femoral pseudoaneurysm of the clinical data were performed and the tumor removed after thorough debridement, respectively vascular ligation and blood vessel repair and reconstruction surgery of two different surgical treatment. Results: The blood vessel repair and reconstruction surgery group, three cases of postoperative bleeding blood vessel ruptures occurred, we must resurgery, 15 routine femoral artery ligation, all of the success of limb salvage. Conclusion: The tumor resection plus vascular graft is an ideal way, but in an unconditional line of vascular grafts, the femoral artery ligation can be used as an effective program for skin defects associated with the contralateral breast underwent umbilical flap transfer of patients.

引用本文： 蔡文,杜昭,王勇. 創(chuàng)傷性感染性假性股動(dòng)脈瘤的治療體會(huì). 華西醫(yī)學(xué), 2009, 24(12): 3128-3130. doi: 復(fù)制

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