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

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卢辉俊 , 赵翼 , 刘辉 , 胡亚立

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Keywords：

感染; 假性动脉瘤; 人造血管

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目的探讨毒品注射所致感染性假性动脉瘤的特点及治疗方法与临床疗效。方法回顾性分析我院血管外科2009年1月至2010年6月期间收治的13例感染性假性动脉瘤吸毒患者的临床资料，采用切除瘤体及周围炎性组织、瘤腔清创及动脉结扎或人工血管置换术，观察移植效果及并发症发生情况。结果13例手术均获成功，无一例发生肢体坏死；伤口一期愈合5例，二期愈合8例； 7例发生程度不等的淋巴瘘。随访2～12个月（平均7个月），其中1例术后2个月瘤腔下端感染形成脓肿伴出血，行切开引流痊愈； 2例术后4个月人造血管感染行人造血管摘除，切口换药痊愈；有2例左肘部假性肱动脉瘤直接行血管结扎，未用人工血管移植；余8例复查B超显示移植血管通畅，无血栓形成。结论彻底清创、血管移植、控制感染是治疗感染性假性动脉瘤的有效方法。

Citation： 卢辉俊,赵翼,刘辉,胡亚立. 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动脉瘤的血管重建17例 [J]. 中国修复重建外科杂志, 2005, 19(8): 632634.
4.	邱荣飞, 胡朝平. 股动脉结扎清创引流治疗股动脉假性动脉瘤感染破裂大出血 [J]. 实用临床医学, 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, 赵国刚, 孟敏, 等. 感染性假性动脉瘤血管处理方式的选择 [J]. 四川医学, 2010, 31(4): 443445.
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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．毒品注射致动脉假性动脉瘤的治疗体会 [J]. 现代临床医学生物工程学杂志, 2006, 12(2): 210211．.
13.	朱通伯，戴克戎．骨科手术学 [M]. 北京：人民卫生出版社， 1996： 1104．.

1. 郑江华, 陈开, 武国, 等. 感染性股动脉假性动脉瘤的外科治疗 [J]. 中国普外基础与临床杂志, 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动脉瘤的血管重建17例 [J]. 中国修复重建外科杂志, 2005, 19(8): 632634.
4. 邱荣飞, 胡朝平. 股动脉结扎清创引流治疗股动脉假性动脉瘤感染破裂大出血 [J]. 实用临床医学, 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, 赵国刚, 孟敏, 等. 感染性假性动脉瘤血管处理方式的选择 [J]. 四川医学, 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．毒品注射致动脉假性动脉瘤的治疗体会 [J]. 现代临床医学生物工程学杂志, 2006, 12(2): 210211．.
13. 朱通伯，戴克戎．骨科手术学 [M]. 北京：人民卫生出版社， 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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