May A R, Brewster D C, Darling R C, Browse N L
Br J Surg. 1981 Jan;68(1):41-3. doi: 10.1002/bjs.1800680113.
Injury to the aorta, vena cava and iliac vessels is a recognized hazard of lumbar disc surgery (1-4). Haemorrhage may be manifest at the time, or postoperatively false aneurysm or arteriovenous fistula occurs. Four cases of arteriovenous fistula, 2 with associated false aneurysm, are described. Presentation varied between immediately postoperatively and 8 years later. In none of these injury suspected at the time of surgery.
主动脉、腔静脉和髂血管损伤是腰椎间盘手术中公认的风险(1-4)。出血可能在术中出现,或术后发生假性动脉瘤或动静脉瘘。本文描述了4例动静脉瘘病例,其中2例伴有假性动脉瘤。临床表现从术后即刻到8年后不等。这些病例在手术时均未怀疑有损伤。