南昌大学学报（医学版）
南昌大學學報（醫學版）
남창대학학보（의학판）
ACTA ACADEMIAE MEDICINAE JIANGXI
2014年
11期
30-32
,共3页
杨玉金%颜兴伟%陈锋%余娇%鲍洪兰
楊玉金%顏興偉%陳鋒%餘嬌%鮑洪蘭
양옥금%안흥위%진봉%여교%포홍란
毒品%股动脉假性动脉瘤%影响因素
毒品%股動脈假性動脈瘤%影響因素
독품%고동맥가성동맥류%영향인소
addictive drug%femoral artery pseudoaneurysm%influencing factors drug abuse
目的：探讨毒品注射性股动脉假性动脉瘤预后的影响因素。方法对66例注射毒品致股动脉假性动脉瘤患者的临床资料进行回顾性分析。58例行股动脉结扎术，8例行血管重建术（人造血管重建术2例、大隐静脉重建术 6例）。观察患者的近期治疗效果，对所有患者进行术后1年的随访，采用肢体末梢血氧饱和度、踝肱指数及其运动功能评价患肢血供情况。结果术后所有病例患侧下肢末端的血液循环良好。1例患者在术后1个月出现人工血管感染，行人工血管拆除术，并行股动脉结扎术，未出现肢体坏死。所有患者术后均获1年随访，66例患者均保肢成功，其中4例患者行动脉结扎术后分别于2、3、4及6个月出现间歇性跛行，1年后间歇性跛行消失；2 例 1年后出现肌肉萎缩乏力。行血管重建术患者未出现下肢缺血症状。结论毒品注射史、肢体末梢血氧饱和度、踝肱指数、手术治疗方案、术后感染控制和功能锻炼为毒品注射性股动脉假性动脉瘤患者手术治疗预后的主要影响因素。
目的：探討毒品註射性股動脈假性動脈瘤預後的影響因素。方法對66例註射毒品緻股動脈假性動脈瘤患者的臨床資料進行迴顧性分析。58例行股動脈結扎術，8例行血管重建術（人造血管重建術2例、大隱靜脈重建術 6例）。觀察患者的近期治療效果，對所有患者進行術後1年的隨訪，採用肢體末梢血氧飽和度、踝肱指數及其運動功能評價患肢血供情況。結果術後所有病例患側下肢末耑的血液循環良好。1例患者在術後1箇月齣現人工血管感染，行人工血管拆除術，併行股動脈結扎術，未齣現肢體壞死。所有患者術後均穫1年隨訪，66例患者均保肢成功，其中4例患者行動脈結扎術後分彆于2、3、4及6箇月齣現間歇性跛行，1年後間歇性跛行消失；2 例 1年後齣現肌肉萎縮乏力。行血管重建術患者未齣現下肢缺血癥狀。結論毒品註射史、肢體末梢血氧飽和度、踝肱指數、手術治療方案、術後感染控製和功能鍛煉為毒品註射性股動脈假性動脈瘤患者手術治療預後的主要影響因素。
목적：탐토독품주사성고동맥가성동맥류예후적영향인소。방법대66례주사독품치고동맥가성동맥류환자적림상자료진행회고성분석。58례행고동맥결찰술，8례행혈관중건술（인조혈관중건술2례、대은정맥중건술 6례）。관찰환자적근기치료효과，대소유환자진행술후1년적수방，채용지체말소혈양포화도、과굉지수급기운동공능평개환지혈공정황。결과술후소유병례환측하지말단적혈액순배량호。1례환자재술후1개월출현인공혈관감염，행인공혈관탁제술，병행고동맥결찰술，미출현지체배사。소유환자술후균획1년수방，66례환자균보지성공，기중4례환자행동맥결찰술후분별우2、3、4급6개월출현간헐성파행，1년후간헐성파행소실；2 례 1년후출현기육위축핍력。행혈관중건술환자미출현하지결혈증상。결론독품주사사、지체말소혈양포화도、과굉지수、수술치료방안、술후감염공제화공능단련위독품주사성고동맥가성동맥류환자수술치료예후적주요영향인소。
ABSTRACT:Objective To investigate the factors influencing prognosis in femoral artery pseud-oaneurysm due to addictive drug injection.Methods Clinical data of 66 patients with femoral ar-tery pseudoaneurysm due to addictive drug injection were analyzed retrospectively.Among the 66 patients,58 underwent femoral artery ligation,and 8 underwent revascularization(2 underwent re-vascularization with artificial graft and 6 with great saphenous vein graft).The short-term effica-cy was observed.In addition,all patients were followed up for 1 year and the blood supply of af-fected limb was evaluated by oxygen saturation of distal limb,ankle brachial index and motor function.Results All patients had successful limb salvage with normal lower extremity blood flow after operation.Vascular graft infection occurred 1 month after operation but no limb necro-sis was found after graft removal and femoral artery ligation in 1 patient.Intermittent claudication occurred 2,3,4 and 6 months after artery ligation but disappeared after 1 year in 4 patients.Mus-cle atrophy occurred 1 year after operation in 2 patients.No lower limb ischemia symptoms were found in patients who underwent revascularization.Conclusion The history of addictive drug in-jection,oxygen saturation of distal limb,ankle brachial index,surgery procedures,postoperative infection control and functional training are the main factors affecting prognosis in femoral artery pseudoaneurysm due to addictive drug injection.
