Cheng S W, Fok M, Wong J
Department of Surgery, University of Hong Kong, Queen Mary Hospital.
Br J Surg. 1992 Jun;79(6):510-2. doi: 10.1002/bjs.1800790611.
The result of surgical treatment of 21 infected femoral pseudoaneurysms in 19 intravenous drug addicts was evaluated. Eight pseudoaneurysms involved only the common or superficial femoral artery and 13 involved the femoral bifurcation. Excision and ligation was performed as the sole procedure in 19 instances, and revascularization by bypass through the obturator route was carried out in two. The mean follow-up was 12.3 months. One patient required an above-knee amputation. The resultant ischaemia was greater after triple vessel ligation (mean ankle:brachial pressure index (ABPI) 0.41) than single vessel ligation (mean ABPI 0.58). Postoperative bleeding occurred in one patient. Intermittent claudication was present in 14 patients after excision and ligation. Claudication was universal and more severe after triple than after single vessel ligation. There was no subsequent limb loss. Excision and ligation is safe and is the treatment of choice for infected femoral pseudoaneurysm in drug addicts.
对19名静脉注射吸毒者的21例感染性股动脉假性动脉瘤的手术治疗结果进行了评估。8例假性动脉瘤仅累及股总动脉或股浅动脉，13例累及股动脉分叉处。19例仅行切除和结扎，2例行经闭孔途径旁路血管重建术。平均随访时间为12.3个月。1例患者需要进行膝上截肢。三血管结扎后的缺血程度（平均踝肱压力指数（ABPI）为0.41）比单血管结扎（平均ABPI为0.58）更严重。1例患者术后出血。14例患者在切除和结扎后出现间歇性跛行。三血管结扎后间歇性跛行普遍存在且比单血管结扎后更严重。术后无肢体丧失。切除和结扎是安全的，是吸毒者感染性股动脉假性动脉瘤的首选治疗方法。
