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目的总结腋动脉真性动脉瘤的诊断和手术治疗体会。方法回顾分析1995年1月至2006年6月收治的16例腋动脉真性动脉瘤的临床资料,收集其病因、临床表现、辅助检查、手术中资料以及术后随访资料等。结果均表现为腋窝搏动性肿物,影像学检查均提示腋动脉瘤,均在全身麻醉下行动脉瘤切除,自体静脉移植腋动脉重建,结果均获得近期临床治愈。随访3~10年,平均5年5个月,1例术后2年出现吻合口狭窄,1例术后3年吻合口闭塞,1例手术后5年死于急性脑出血,余13例无复发或并发症出现。结论腋窝搏动性肿物是腋动脉真性动脉瘤的主要临床表现,无创性超声检查有助于明确诊断,真性动脉瘤切除、血管重建是一种可靠的理想的治疗方法。
Objective To summarize the diagnosis and surgical treatment of axillary aneurysm. Methods The clinical data of 16 patients with axillary aneurysm admitted from January 1995 to June 2006 were retrospectively analyzed. The etiology, clinical manifestations, auxiliary examinations, intraoperative data and postoperative follow-up data were collected. The results showed axillary pulsatile tumor, axillary aneurysm imaging examination were prompted, were under general anesthesia underwent aneurysm resection, autologous vein graft axillary reconstruction, the results were recently clinically cured. The patients were followed up for 3 to 10 years with an average of 5 years and 5 months. One patient had anastomotic stenosis at 2 years after surgery, 1 patient with anastomotic occlusion at 3 years after operation, 1 patient died of acute cerebral hemorrhage 5 years after operation, Recurrence or complications appear. Conclusion Axillary beating tumor is the main clinical manifestations of axillary aneurysm. Noninvasive ultrasonography is helpful to confirm the diagnosis. True aneurysm resection and revascularization are a reliable and ideal method of treatment.