下肢动脉动脉瘤的外科治疗。

M. Кhanchi, A. Matkerimov, A. Tergeussizov, T. Demeuov, A. Baubekov, M. Zhakubayev, T. Tajibayev, M. Khanchi, A. Shamshiev
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引用次数: 0

摘要

外周动脉瘤是危险的,可能出现并发症,如破裂、出血、远端床血栓栓塞和随后的组织缺血,以及由于紧密定位的神经干压力引起的神经系统疾病。外周动脉瘤最常见的原因之一是外伤。应特别注意医源性损伤数量的显著增加。从2000年到2019年,46例患者接受了下肢动脉手术。进行了各种类型的重建操作。患者年龄30 ~ 76岁,平均43.3±6.5岁。股腘动脉合并动脉瘤病变6例(9.2%)行手术治疗。术后91.5%的外周动脉瘤患者临床结果为阳性。4例(8.5%)出现并发症。长期的研究结果从3个月到3年不等。进行临床检查,并辅以超声控制。发现2例远端吻合口血栓形成,重建远端吻合口后予以修复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
SURGICAL TREATMENT OF ARTERIAL ANEURYSMS OF THE LOWER LIMB.
Peripheral artery aneurysms are dangerous with possible complications such as ruptures, bleeding, thromboembolism in the distal bed with subsequent tissue ischemia, neurological disorders due to pressure of closely located nerve trunks. One of the most common causes of peripheral artery aneurysms is trauma. Special attention should be paid to a significant increase in the number of iatrogenic injuries. From 2000 to 2019, 46 patients were operated on the arteries of the lower extremities. Operations of various types of reconstructions were performed. The total age of the patients ranged from 30 to 76 years, the average age of the patients was 43.3± 6.5 years. A total of 6 (9.2%) patients were operated on with combined aneurysmal lesion of the femoral and popliteal arteries. In the postoperative period, 91.5% of patients with peripheral artery aneurysm had positive clinical results. 4 (8.5%) developed complications. Long-term results were tracked in the period from 3 months to 3 years. A clinical examination was performed, supplemented by ultrasound control. 2 cases of thrombosis in the distal anastomosis were identified, which were restored after reconstruction of the distal anastomosis.
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