Yajima H, Tamai S, Ono H
Department of Orthopaedic Surgery, Nara Medical University, Kashihara, Japan.
Microsurgery. 1995;16(8):566-70. doi: 10.1002/micr.1920160811.
Aneurysms of the digital artery are rare. Since 1980, we have treated three traumatic aneurysms of the digital artery. There were two lesions of the common palmar digital artery and one of the ulnar pollicis artery. One case was caused by a traumatic laceration with a kitchen knife, and two cases were caused by repetitive microtrauma. On histologic examination, there were two true aneurysms and one false aneurysm. Two cases were treated by excision only, and one case was treated by excision and reanastomosis. The operating microscope was useful during neurolysis, excision of the aneurysm, and vascular anastomosis.
指动脉动脉瘤较为罕见。自1980年以来，我们共治疗了3例指动脉创伤性动脉瘤。其中掌侧指总动脉病变2例，尺侧拇动脉病变1例。1例由菜刀切割伤所致，2例由反复微小创伤所致。组织学检查发现，有2例真性动脉瘤和1例假性动脉瘤。2例仅行切除术治疗，1例行切除及再吻合术治疗。手术显微镜在神经松解、动脉瘤切除及血管吻合过程中发挥了作用。
