Zyluk Andrzej, Walaszek Ireneusz
Klinika Chirurgii Ogólnej i Chirurgii Reki, Pomorska Akademia Medyczna w Szczecinie.
Chir Narzadow Ruchu Ortop Pol. 2005;70(5):373-7.
Two cases of post-traumatic aneurysms of the ulnar artery within the hand in patients aged 28 and 45 years are presented. First one developed following blunt trauma of the hypohtenar during use of the screwdriver, other one was caused by puncture, penetrated injury. Both were typically localised at the base of the hypothenar and both were asymptomacic. Presence of the pulsating tumour in the palm was a cause of the medical appointment. Arteriography was performed in both cases that confirmed diagnosis of the aneurysm. Patients were operated on 2 months after initial injury. The aneurysm was resected and ulnar artery was re-anastomosed by vein graft in one case, and by direct suture in the other one. Anticoagulants were administered post-operatively. In both cases the course was uneventful, and phone call one year after operation revealed only some symptoms of cold intolerance in one patient. The likelihood of aneurysm formation as a consequence of blunt and sharp trauma of the hand was suggested as well as the necessity of prompt diagnosis and operative treatment.
本文报告了两例尺动脉创伤后手部动脉瘤病例，患者年龄分别为28岁和45岁。第一例是在使用螺丝刀时小鱼际受到钝器创伤后形成，另一例是由穿刺、穿透伤引起。两例均典型地位于小鱼际底部，且均无症状。手掌部搏动性肿物是就诊原因。两例均行血管造影，确诊为动脉瘤。患者在初次受伤后2个月接受手术。一例切除动脉瘤后用静脉移植物重建尺动脉，另一例直接缝合。术后给予抗凝治疗。两例术后过程均顺利，术后一年电话随访发现仅一例患者有一些不耐寒症状。文中提出了手部钝器伤和锐器伤后形成动脉瘤的可能性，以及及时诊断和手术治疗的必要性。
