Paes E, Paulat K, Hamann H, Hutschenreiter S, Cyba-Altunbay S, Kogel H, Bischoff U
Abteilung Gefäss-, Thorax- und Herzchirurgie, Chirurgische Universitätsklinik und Poliklinik, Ulm, Federal Republic of Germany.
Surg Endosc. 1988;2(4):256-60. doi: 10.1007/BF00705333.
Ultrasonographic duplex scanning is used widely to screen the abdominal arterial system and to detect lesions in the extracranial cerebral arteries. Based on clinical studies of 11,712 vascular reconstructions, this report describes the early recognition of fluid accumulation around vascular prostheses. The clinical examination may suggest the typical complications that arise after vascular surgery such as hematoma, pseudoaneurysm, lymphocele, abscess, or perigraft cyst. Duplex scanning, combined with puncture and aspiration, proved to be of great benefit in differentiating the specific type and extent of the complication. Special attention is paid to the so-called perigraft reaction, thought to be a result of an aseptic biological incompatibility to synthetic vascular grafts. It is emphasized that ultrasonographic routine follow-up after vascular surgery is essential for early diagnosis, especially since each complication suspected requires specific therapeutic treatment to prevent exacerbation because of inadequate treatment.
超声双功扫描被广泛用于筛查腹部动脉系统以及检测颅外脑动脉病变。基于对11712例血管重建术的临床研究，本报告描述了血管假体周围积液的早期识别。临床检查可能提示血管手术后出现的典型并发症，如血肿、假性动脉瘤、淋巴囊肿、脓肿或移植周围囊肿。双功扫描结合穿刺抽吸，在鉴别并发症的具体类型和程度方面被证明非常有益。特别关注所谓的移植周围反应，它被认为是对合成血管移植物无菌生物不相容性的结果。需要强调的是，血管手术后的超声常规随访对于早期诊断至关重要，尤其是因为每一种疑似并发症都需要特定的治疗，以防止因治疗不足而加重病情。
