[1]孙春亮＊ 辛群 徐涛.下肢外伤性动静脉瘘的诊治体会（附5例报告）[J].中国微创外科杂志,2014,14(11):1055-1064.
　Sun Chunliang,Xin Qun,Xu Tao..Diagnosis and Treatment for Lower Limb Traumatic Arteriovenous Fistula: a Report of 5 Cases[J].Chinese Journal of Minimally Invasive Surgery,2014,14(11):1055-1064.
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下肢外伤性动静脉瘘的诊治体会（附5例报告）()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
14
期数:
2014年11期
页码:
1055-1064
栏目:
短篇报道
出版日期:
2014-11-20

文章信息/Info

Title:
Diagnosis and Treatment for Lower Limb Traumatic Arteriovenous Fistula: a Report of 5 Cases
作者:
孙春亮＊ 辛群 徐涛
解放军第401医院普外科血管外科组，青岛266071
Author(s):
Sun Chunliang;  Xin Qun;  Xu Tao.
Department of General Surgery, The people’s Liberation Army 401st Hospital, Qingdao 266071, China
关键词:
下肢; 外伤性动静脉瘘
Keywords:
Lower limbs; Traumatic arteriovenous fistula
分类号:
R654.3
文献标志码:
D
摘要:
2009年5月~2012年2月我科收治5例下肢外伤性动静脉瘘，4例行腔内覆膜支架隔绝瘘口，1例行瘘口旷置+股深动脉-股浅动脉端侧吻合+股总动脉-股浅动脉人工血管移植术。4例分别随访3、5、3、3年，无复发；1例腔内治疗时第1枚覆膜支架未能有效隔绝瘘口，再次释放第2枚支架时未能成功，随访2年，左下肢、会阴部肿胀，色素沉着呈逐渐加重趋势。腔内覆膜支架隔绝瘘口是可靠的治疗方法，出血少、创伤小、恢复快。通过翻山技术隔绝对侧肢体瘘口，当瘘口位置较低，同时左右髂动脉分叉角度较小时，有无法成功释放覆膜支架的可能。
Abstract:
From May 2009 to February 2012, five patients with traumatic lower limb arteriovenous fistula were admitted in our department. Four patients underwent endovascular stent grafting, and one patient was given fistula indwelling, deep femoral arterysuperficial femoral artery end to side anastomosis, and femoral arterysuperficial femoral artery artificial vescular grafting. Four patients were cured, which were followed for 3, 5, 3, and 3 years, respectively, without recurrence. One patient with endovascular stent grafting failed to isolate the fistula effectively and a second stent grafting failed, too. Endovascular stent grafting is an effective method in the treatment of fistula, with less bleeding, small trauma, and rapid recovery. By using the technology of "through the hills" to isolate limb fistula, the covered stent might not be released when the fistula is located at low position and at the same time the left iliac artery bifurcation angle is small.

参考文献/References:

[1]杨德华，胡海地，张强，等.创伤性动静脉瘘20例的手术治疗.中华普通外科杂志，2002，17（11）：652-653.
[2]王海涛，姜维良，张英男，等.下肢创伤性动静脉瘘的腔内修复治疗.中华创伤杂志，2009，25（8）：755-756.
[3]刘渠，迟路湘.医源性外周假性动脉瘤的诊治体会（附5例报告）.中国微创外科杂志，2008，8（7）：655-656.
[4]Sancak T，Bilgic S，Ustuner E. Endovascular stentgraft treatment of a traumatic vertebral artery pseudoaneurysm and vertebrojugular fistula.Korean J Radiol, 2008, 9 (Suppl):S68-S72.

备注/Memo

备注/Memo:
＊通讯作者，Email:Sunchunliang5366@sina.com
更新日期/Last Update: 2014-11-20