Experience of Infected Pseudoaneurysms of Femoral Artery Caused by Drug Injection_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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盧輝俊 , 趙翼 , 劉輝 , 胡亞立

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Keywords：

感染; 假性動脈瘤; 人造血管

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目的探討毒品注射所致感染性假性動脈瘤的特點及治療方法與臨床療效。方法回顧性分析我院血管外科2009年1月至2010年6月期間收治的13例感染性假性動脈瘤吸毒患者的臨床資料，采用切除瘤體及周圍炎性組織、瘤腔清創及動脈結扎或人工血管置換術，觀察移植效果及并發癥發生情況。結果13例手術均獲成功，無一例發生肢體壞死；傷口一期愈合5例，二期愈合8例； 7例發生程度不等的淋巴瘺。隨訪2～12個月（平均7個月），其中1例術后2個月瘤腔下端感染形成膿腫伴出血，行切開引流痊愈； 2例術后4個月人造血管感染行人造血管摘除，切口換藥痊愈；有2例左肘部假性肱動脈瘤直接行血管結扎，未用人工血管移植；余8例復查B超顯示移植血管通暢，無血栓形成。結論徹底清創、血管移植、控制感染是治療感染性假性動脈瘤的有效方法。

Citation： 盧輝俊,趙翼,劉輝,胡亞立. Experience of Infected Pseudoaneurysms of Femoral Artery Caused by Drug Injection. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(3): 333-335. doi: Copy

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2.	Rabbani A, Moini M, Rasouli MR. Obturator bypass as an alternative technique for revascularization in patients with infected femoral pseudoaneurysms [J]. Arch Iran Med, 2008, 11(1): 5053.
3.	周翔字, 何延政, 袁平, 等. 注射毒品所致感染性假性動脈瘤的血管重建17例 [J]. 中國修復重建外科雜志, 2005, 19(8): 632634.
4.	邱榮飛, 胡朝平. 股動脈結扎清創引流治療股動脈假性動脈瘤感染破裂大出血 [J]. 實用臨床醫學, 2010, 11(1): 7071.
5.	Naqi SA, Khan HM, Akhtar S, et al. Femoral pseudoaneurysm in drug addicts-excision without revascularization is a viable option [J]. Eur J Vasc Endovasc Surg, 2006, 31(6): 585587.
6.	Salimi J, Shojaeefar A, Khashayar P. Management of infected femoral pseudoaneurysms in intravenous drug abusers: a review of 57 cases [J]. Arch Med Res, 2008, 39(1): 120124.
7.	戴毅, 趙國剛, 孟敏, 等. 感染性假性動脈瘤血管處理方式的選擇 [J]. 四川醫學, 2010, 31(4): 443445.
8.	Benjamin ME, Cohn EJ Jr, Purtill WA, et al. Arterial reconstruction with deep leg veins for the treatment of mycotic aneurysms [J]. J Vasc Surg, 1999, 30(6): 10041015.
9.	Dighe S, Thomas P. Ruptured superficial femoral artery aneurysm treated by simple ligation [J]. Singapore Med J, 2008, 49(6): e151e152.
10.	Klonaris C, Katsargyris A, Papapetrou A, et al. Infected femoral artery pseudoaneurysm in drug addicts: the beneficial use of the internal iliac artery for arterial reconstruction [J]. J Vasc Surg, 2007, 45(3): 498504．.
11.	Georgiadis GS, Lazarides MK, Polychronidis A, et al. Surgical treatment of femoral artery infected false aneurysms in drug abusers [J]. ANZ J Surg, 2005, 75(11): 10051010.
12.	李英海，姚燕丹，林少芒．毒品注射致動脈假性動脈瘤的治療體會 [J]. 現代臨床醫學生物工程學雜志, 2006, 12(2): 210211．.
13.	朱通伯，戴克戎．骨科手術學 [M]. 北京：人民衛生出版社， 1996： 1104．.

1. 鄭江華, 陳開, 武國, 等. 感染性股動脈假性動脈瘤的外科治療 [J]. 中國普外基礎與臨床雜志, 2009, 16(4): 296298.
2. Rabbani A, Moini M, Rasouli MR. Obturator bypass as an alternative technique for revascularization in patients with infected femoral pseudoaneurysms [J]. Arch Iran Med, 2008, 11(1): 5053.
3. 周翔字, 何延政, 袁平, 等. 注射毒品所致感染性假性動脈瘤的血管重建17例 [J]. 中國修復重建外科雜志, 2005, 19(8): 632634.
4. 邱榮飛, 胡朝平. 股動脈結扎清創引流治療股動脈假性動脈瘤感染破裂大出血 [J]. 實用臨床醫學, 2010, 11(1): 7071.
5. Naqi SA, Khan HM, Akhtar S, et al. Femoral pseudoaneurysm in drug addicts-excision without revascularization is a viable option [J]. Eur J Vasc Endovasc Surg, 2006, 31(6): 585587.
6. Salimi J, Shojaeefar A, Khashayar P. Management of infected femoral pseudoaneurysms in intravenous drug abusers: a review of 57 cases [J]. Arch Med Res, 2008, 39(1): 120124.
7. 戴毅, 趙國剛, 孟敏, 等. 感染性假性動脈瘤血管處理方式的選擇 [J]. 四川醫學, 2010, 31(4): 443445.
8. Benjamin ME, Cohn EJ Jr, Purtill WA, et al. Arterial reconstruction with deep leg veins for the treatment of mycotic aneurysms [J]. J Vasc Surg, 1999, 30(6): 10041015.
9. Dighe S, Thomas P. Ruptured superficial femoral artery aneurysm treated by simple ligation [J]. Singapore Med J, 2008, 49(6): e151e152.
10. Klonaris C, Katsargyris A, Papapetrou A, et al. Infected femoral artery pseudoaneurysm in drug addicts: the beneficial use of the internal iliac artery for arterial reconstruction [J]. J Vasc Surg, 2007, 45(3): 498504．.
11. Georgiadis GS, Lazarides MK, Polychronidis A, et al. Surgical treatment of femoral artery infected false aneurysms in drug abusers [J]. ANZ J Surg, 2005, 75(11): 10051010.
12. 李英海，姚燕丹，林少芒．毒品注射致動脈假性動脈瘤的治療體會 [J]. 現代臨床醫學生物工程學雜志, 2006, 12(2): 210211．.
13. 朱通伯，戴克戎．骨科手術學 [M]. 北京：人民衛生出版社， 1996： 1104．.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Experience of Infected Pseudoaneurysms of Femoral Artery Caused by Drug Injection

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