Naqi S A, Khan H M, Akhtar S, Shah T A
Department of Surgery, Mayo Hospital, Lahore, Pakistan.
Eur J Vasc Endovasc Surg. 2006 Jun;31(6):585-7. doi: 10.1016/j.ejvs.2005.12.011. Epub 2006 Feb 7.
To present a series of patients presenting with femoral pseudoaneurysm.
Seventeen patients who presented with a femoral pseudoaneurysm during a 1 year period were included in this study. Parenteral drug abuse was the most common aetiological factor. The femoral artery was most commonly involved at its bifurcation. Sixteen patients (94%) had excision of the pseudoaneurysm with ligation of vessel and debridement without any revascularization and one patient (6%) had reverse saphenous grafting after excision and ligation of vessels. Four amputations (23%) were performed. Three (17%) were major limb amputations, which included one above knee and two below knee amputations. Four patients (23%) developed intermittent claudication.
Excision of the pseudoaneurysm with ligation of vessels and wide debridement without immediate revascularization in infected pseudoaneurysms is a safe and effective treatment.
介绍一系列出现股动脉假性动脉瘤的患者。
本研究纳入了在1年期间出现股动脉假性动脉瘤的17例患者。静脉药物滥用是最常见的病因。股动脉最常累及分叉处。16例患者（94%）进行了假性动脉瘤切除，同时结扎血管并清创，未进行任何血管重建，1例患者（6%）在血管切除和结扎后进行了大隐静脉逆向移植。进行了4例截肢手术（23%）。3例（17%）为大肢体截肢，其中包括1例膝上截肢和2例膝下截肢。4例患者（23%）出现间歇性跛行。
对于感染性假性动脉瘤，切除假性动脉瘤并结扎血管、广泛清创且不立即进行血管重建是一种安全有效的治疗方法。
