Porcellini M, Bernardo B, Spinetti F, Carbone F
Department of Vascular Surgery, Federico II University, Naples, Italy.
J Cardiovasc Surg (Torino). 2001 Apr;42(2):233-6.
To evaluate the feasibility and safety of surgical treatment of the superficial temporal artery aneurysms on an outpatient basis.
The records of 5 patients seen at our institution from 1983 to 1997 were reviewed retrospectively. Preoperative diagnosis was made by patient s history and physical examination, with no further evaluation.
Outpatient ligation and excision of four aneurysms of distal branches of the superficial temporal artery (3 frontal, 1 parietal) and one involving its proximal portion was performed under local anesthesia. Supplementation with minimal intravenous sedation facilitated the treatment in an uncooperative child and in the patient affected with proximal STA aneurysm. All procedures were uneventful. Patients were discharged a few hours after surgical treatment. No patient required hospitalization following discharge. No recurrence was noted during follow-up periods of 2 to 16 years.
Outpatient diagnosis and excision of aneurysm of the superficial temporal artery can be performed safely. Significant advantages of this pathway include no hospital admission and cost reduction.
评估门诊手术治疗颞浅动脉瘤的可行性和安全性。
回顾性分析1983年至1997年在本机构就诊的5例患者的病历。术前诊断依据患者病史和体格检查，未进行进一步评估。
在局部麻醉下对4例颞浅动脉远端分支动脉瘤（3例额部、1例顶叶）及1例累及近端的动脉瘤进行了门诊结扎和切除。对不合作的儿童及患有近端颞浅动脉瘤的患者，辅以少量静脉镇静剂有助于治疗。所有手术均顺利。患者在手术治疗后数小时出院。出院后无需住院。在2至16年的随访期内未发现复发。
颞浅动脉瘤的门诊诊断和切除可安全进行。该方法的显著优点包括无需住院和降低费用。
