CAJ | 학술논문

目的探讨覆膜支架植入联合二期清创在毒品注射所致破裂性股动脉假性动脉瘤治疗中的疗效及安全性.方法回顾性分析2009年至2013年急诊行覆膜支架植入术、二期清创的7例患者临床资料,男6例,女1例,年龄19 ～ 42岁.腹股沟区注射毒品史2 ～10年.结果腔内操作成功率100％,腔内操作时间(55±6.32) min,出血量(93.33±25.03) ml,住院时间(9.5±0.84)d,术后患肢缺血情况均改善.随访3～24个月,未出现支架移位、断裂,支架内血栓,感染等并发症.结论覆膜支架植入治疗股动脉假性动脉瘤破裂大出血效果好,且近、中期无相关并发症,此法为一种首选安全有效的治疗方法.为二期清创创造了条件.
목적 탐토복막지가식입연합이기청창재독품주사소치파렬성고동맥가성동맥류치료중적료효급안전성.방법 회고성분석2009년지2013년급진행복막지가식입술、이기청창적7례환자림상자료,남6례,녀1례,년령19 ～ 42세.복고구구주사독품사2 ～10년.결과 강내조작성공솔100％,강내조작시간(55±6.32) min,출혈량(93.33±25.03) ml,주원시간(9.5±0.84)d,술후환지결혈정황균개선.수방3～24개월,미출현지가이위、단렬,지가내혈전,감염등병발증.결론 복막지가식입치료고동맥가성동맥류파렬대출혈효과호,차근、중기무상관병발증,차법위일충수선안전유효적치료방법.위이기청창창조료조건.
Objective To evaluate the feasibility,safety,and efficacy of endovascular repair combined with second-stage surgical debridement for ruptured femoral pseudoaneurysms (RFP).Methods All patients who underwent emergency repair of an RFP in our institution between 2009 and 2013 were identified.Case notes were retrieved for clinical data.Results Seven patients were identified.All the patients were treated with emergent percutaneous stent-graft implantation and secondary surgical debridement.The procedure time was (55 ± 6.32) min,blood loss was (93.33 ± 25.03) ml,hospital stay was (9.5 ± 0.84) d,and no postoperative complications occurred.Conclusions stent graft implantation for the treatment of RFPs is safe and effective in short-or middle-term outcome.It is an alternative for RFPs and may be the better option,which makes the secondary surgical debridement feasible and viable.