Avazashvili D, Nonikashvili Z, Gugulashvili Z, Huhunaishvili L
Tbilisi First City Hospital, Department of Vascular and Urgent microsurgery, Georgia.
Georgian Med News. 2011 Nov;11(200):7-10.
Case reports of two patients with aneurysms, description of clinical sings, steps of diagnostic protocols and surgical techniques are presented in this article. The first case - false aneurysm of the proper lateral artery of the ІV finger of the right hand; second case - false aneurysm of the right hand. In both cases operation of aneurismal sac resection with ligation of aneurysma forming vessels were performed. After surgical interventions compensation of blood circulation and full restoration of the function of operated segments were found.
early verification of correct clinical diagnosis and nomination of the patient to the specialized department of hand microsurgery is of crucial importance in achievement of good results after surgical treatment of aneurysms of the hand and fingers.
本文介绍了两名动脉瘤患者的病例报告、临床体征描述、诊断方案步骤和手术技术。第一例——右手无名指尺侧固有动脉假性动脉瘤;第二例——右手假性动脉瘤。两例均行动脉瘤囊切除并结扎形成动脉瘤的血管手术。手术干预后,发现血液循环得到代偿,手术部位功能完全恢复。
对手部和手指动脉瘤进行手术治疗后,要取得良好效果,早期准确进行临床诊断并将患者转诊至手显微外科专科至关重要。