創傷性動脈瘤和動靜脈瘺的術式選擇_《中國普外基礎與臨床雜志》

作者：

喬正榮 , 時德 , 戴毅 , 蔣鷗 , 王志剛

重慶醫科大學附屬第一醫院血管外科（重慶400016）;

關鍵詞：

動脈瘤動靜脈瘺創傷外科治療

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目的探討復雜的創傷性動脈瘤（TAA）和動靜脈瘺（TAVF）的手術方法和療效。方法對我院1963年6月至2000年12月經手術治療的TAA和TAVF 121例進行回顧性分析。結果TAA ７１例含９１個動脈瘤，TAVF ５０例含５４個動靜脈瘺。手術方式包括瘤體切除和端端吻合或血管移植或上下結扎，瘤體上下結扎加血管旁路移植，直接修補或補片。瘺管切除加四頭結扎或動靜脈移植或動靜脈修補，介入栓塞治療。死亡１例。TAA、TAVF隨訪率分別為６５.７%和６０.0%。遠期效果好。結論不同部位復雜的TAA和TAVF應根據其不同分型采用不同的手術方式，對選擇性病例可考慮做介入治療。

引用本文： 喬正榮,時德,戴毅,蔣鷗,王志剛. 創傷性動脈瘤和動靜脈瘺的術式選擇. 中國普外基礎與臨床雜志, 2004, 11(4): 314-316. doi: 復制

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2.	Coldwell DM, Novak Z, Ryu RK, et al. Treatment of posttraumatic internal carotid arterial pseudoaneurysms with endovascular stents [Ｊ]. J Trauma, 2000; 48(3)∶470.
3.	Luo CB, Lirng JF, Teng MM, et al. Endovascular embolization of arteriovenous fistulas of the external carotid artery [Ｊ]. Zhonghua Yi Xue Za Zhi (Taipei), 1998; 61(5)∶260.
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5.	Balci NC, Semelka RC, Sandhu JS. Intrahepatic arterioportal fistula: gadoliniumenhanced 3D magnetic resonance angiography findings and angiographic embolization with steel coils [Ｊ]. Magn Reson Imaging, 1999; 17(3)∶475.
6.	Davis KA, Fabian TC, Croce MA, et al. Improved success in nonoperative management of blunt splenic injuries: embolization of splenic artery pseudoaneurysms [Ｊ]. J Trauma, 1998; 44(6)∶1008.
7.	Maloo MK, Burrows PE, Shamberger RC. Traumatic splenic arteriovenous fistula: splenic conservation by embolization [Ｊ]. J Trauma, 1999; 47(1)∶173.
8.	Wang KT, Hou CJ, Hsieh JJ, et al. Late development of renal arteriovenous fistula following gunshot traumaa case report [Ｊ]. Angiology, 1998; 49(5)∶415.
9.	Reber PU, Baer HU, Patel AG, et al. Superselective microcoil embolization: treatment of choice in highrisk patients with extrahepatic pseudoaneurysms of the hepatic arteries [Ｊ]. J Am Coll Surg, 1998; 186(3)∶325.
10.	Sharma S, Bhargava B, Mahapatra M, et al. Pseudoaneurysm of the superficial femoral artery following accidental trauma: result of treatment by percutaneous stentgraft placement [Ｊ]. Eur Radiol, 1999; 9(3)∶422.
11.	Thalhammer C, Kirchherr AS, Uhlich F, et al. Postcatheterization pseudoaneurysms and arteriovenous fistulas: repair with percutaneous implantation of endovascular covered stents [Ｊ]. Radiology, 2000; 214(1)∶127.

1. 時德，張依仁，劉象和，等. 創傷性動脈瘤和動靜脈瘺 [Ｊ]. 中華創傷雜志， 1996； 12（4）∶215.
2. Coldwell DM, Novak Z, Ryu RK, et al. Treatment of posttraumatic internal carotid arterial pseudoaneurysms with endovascular stents [Ｊ]. J Trauma, 2000; 48(3)∶470.
3. Luo CB, Lirng JF, Teng MM, et al. Endovascular embolization of arteriovenous fistulas of the external carotid artery [Ｊ]. Zhonghua Yi Xue Za Zhi (Taipei), 1998; 61(5)∶260.
4. Kirchgatterer A, Baldinger C, Lenglinger F, et al. Portal hypertension due to traumatic hepatic arterioportal fistula: report of successful embolization [Ｊ]. Eur J Gastroenterol Hepatol, 1998; 10(12)∶1057.
5. Balci NC, Semelka RC, Sandhu JS. Intrahepatic arterioportal fistula: gadoliniumenhanced 3D magnetic resonance angiography findings and angiographic embolization with steel coils [Ｊ]. Magn Reson Imaging, 1999; 17(3)∶475.
6. Davis KA, Fabian TC, Croce MA, et al. Improved success in nonoperative management of blunt splenic injuries: embolization of splenic artery pseudoaneurysms [Ｊ]. J Trauma, 1998; 44(6)∶1008.
7. Maloo MK, Burrows PE, Shamberger RC. Traumatic splenic arteriovenous fistula: splenic conservation by embolization [Ｊ]. J Trauma, 1999; 47(1)∶173.
8. Wang KT, Hou CJ, Hsieh JJ, et al. Late development of renal arteriovenous fistula following gunshot traumaa case report [Ｊ]. Angiology, 1998; 49(5)∶415.
9. Reber PU, Baer HU, Patel AG, et al. Superselective microcoil embolization: treatment of choice in highrisk patients with extrahepatic pseudoaneurysms of the hepatic arteries [Ｊ]. J Am Coll Surg, 1998; 186(3)∶325.
10. Sharma S, Bhargava B, Mahapatra M, et al. Pseudoaneurysm of the superficial femoral artery following accidental trauma: result of treatment by percutaneous stentgraft placement [Ｊ]. Eur Radiol, 1999; 9(3)∶422.
11. Thalhammer C, Kirchherr AS, Uhlich F, et al. Postcatheterization pseudoaneurysms and arteriovenous fistulas: repair with percutaneous implantation of endovascular covered stents [Ｊ]. Radiology, 2000; 214(1)∶127.

《中國普外基礎與臨床雜志》

創傷性動脈瘤和動靜脈瘺的術式選擇

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《中國普外基礎與臨床雜志》

創傷性動脈瘤和動靜脈瘺的術式選擇

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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