Yamamoto Naoto, Unno Naoki, Mitsuoka Hiroshi, Uchiyama Takashi, Saito Takaaki, Kaneko Hiroshi, Nakamura Satoshi
Second Department of Surgery, Hamamatsu University School of Medicine, 1-20-1 Handayama, Hamamatsu, Shizuoka 431-3192, Japan.
Surg Today. 2002;32(11):970-3. doi: 10.1007/s005950200194.
The purpose of this study was to determine the incidence of arteriomegaly in patients with femoral artery aneurysms (FAAs), and assess the differences in clinical characteristics between patients with and without arteriomegaly.
We retrospectively analyzed 11 patients with a collective total of 16 true FAAs treated at our hospital between 1980 and 2000. The diagnosis of FAAs and arteriomegaly was made by angiography, ultrasonography, and computed tomography.
All 11 patients were men, 7 of whom had arteriomegaly with multiple aneurysms, including 1 abdominal aortic aneurysm, 5 iliac artery aneurysms, 5 contralateral FAAs, and 2 popliteal artery aneurysms. Aneurysmal multiplicity was not seen in the other 4 patients who had no evidence of arteriomegaly. Three patients in the nonarteriomegaly group were complicated by atherosclerotic occlusive disease of the lower extremities. Resection and arterial reconstruction was performed for 12 aneurysms; resection for 1, wrapping for 1, and exclusion for 2. One patient who underwent exclusion of an aneurysm suffered rupture of the aneurysm 1 year after the initial operation.
A high incidence of multiple aneurysms was seen among patients with FAA, and all of those with arteriomegaly had multiple aneurysms. This suggests the need for a rationale to assess aneurysmal diseases for patients with arteriomegaly.
本研究旨在确定股动脉瘤（FAA）患者中动脉扩张的发生率，并评估有动脉扩张和无动脉扩张患者的临床特征差异。
我们回顾性分析了1980年至2000年间在我院接受治疗的11例患者，共计16个真性FAA。FAA和动脉扩张的诊断通过血管造影、超声检查和计算机断层扫描进行。
11例患者均为男性，其中7例有动脉扩张并伴有多发动脉瘤，包括1例腹主动脉瘤、5例髂动脉瘤、5例对侧FAA和2例腘动脉瘤。另外4例无动脉扩张证据的患者未发现动脉瘤多发情况。非动脉扩张组中有3例患者并发下肢动脉粥样硬化闭塞性疾病。对12个动脉瘤进行了切除和动脉重建；1个动脉瘤进行了切除，1个进行了包裹，2个进行了旷置。1例接受动脉瘤旷置的患者在初次手术后1年动脉瘤破裂。
FAA患者中多发动脉瘤的发生率较高，所有有动脉扩张的患者均有多发动脉瘤。这表明需要对有动脉扩张的患者评估动脉瘤疾病制定合理的方法。
