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小腿创伤后动静脉瘘的诊断与治疗——病例报告

Diagnosis and treatment of posttraumatic arteriovenous fistula in the lower leg - a case report.

作者信息

Sobstyl Jan, Kuczyńska Maryla, Kuklik Ewa, Światłowski Łukasz, Tsitskari Maria, Jargiełło Tomasz

机构信息

Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland.

Department of Vascular and Interventional Radiology, Apollonio Hospital, Nicosia, Cyprus.

出版信息

J Ultrason. 2018;18(73):166-169. doi: 10.15557/JoU.2018.0025.

Abstract

External injuries are one of the common reasons for reporting to hospital emergency departments. Peripheral vascular injuries occur in up to about 25% of upper and lower extremity injury cases. Arteriovenous fistula is a type of arterial injury. Doppler ultrasound is currently the primary diagnostic method for vascular injuries as it allows for the implementation of appropriately targeted treatment, indicating the potential need for extended diagnosis or patient qualification for endovascular or classical surgery. Endovascular procedures are currently an acknowledged treatment method in peripheral vascular injuries. We present a case of endovascular treatment in a patient with posttraumatic arteriovenous fistula in the lower leg. Patient qualification and treatment efficacy assessment were performed using Doppler ultrasound.

摘要

外伤是前往医院急诊科就诊的常见原因之一。外周血管损伤在高达约25%的上下肢损伤病例中出现。动静脉瘘是一种动脉损伤类型。多普勒超声目前是血管损伤的主要诊断方法,因为它能实现针对性治疗,提示可能需要进一步诊断或确定患者是否适合进行血管内治疗或传统手术。血管内治疗目前是外周血管损伤公认的治疗方法。我们报告一例小腿创伤后动静脉瘘患者的血管内治疗病例。使用多普勒超声对患者进行评估并评估治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/967a/6440509/e537e653b502/jou-18-166-g001.jpg

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