Turowski G A, Amjadi N, Sterling A, Thomson J G
Division of Plastic Surgery, Brigham and Women's/Children's Hospital, Boston, MA, USA.
Ann Plast Surg. 1997 May;38(5):527-30. doi: 10.1097/00000637-199705000-00015.
Aneurysms involving the distal radial artery are rare lesions which are usually secondary to penetrating trauma or iatrogenic injury. Blunt trauma is an extremely uncommon cause. In the absence of a history of penetrating vascular injury, a radial artery aneurysm may easily be misdiagnosed as a nonvascular mass such as a synovial cyst. A diagnostic approach to these lesions is discussed emphasizing the role of noninvasive studies in uncomplicated cases. Excision of the aneurysm is recommended. The decision to ligate or reconstruct the radial artery remains controversial.
累及桡动脉远端的动脉瘤是罕见病变，通常继发于穿透性创伤或医源性损伤。钝性创伤是极其罕见的病因。在没有穿透性血管损伤病史的情况下，桡动脉动脉瘤很容易被误诊为非血管性肿块，如滑膜囊肿。本文讨论了针对这些病变的诊断方法，强调了无创检查在非复杂性病例中的作用。建议切除动脉瘤。是否结扎或重建桡动脉仍存在争议。
