CAJ | 학술논문

髂动静脉瘘是后路腰椎间盘摘除术的一种罕见并发症，其表现与术后深静脉血栓形成引起的肺动脉血栓症状相似，临床上易导致误诊。笔者报告1例椎间盘切除术6个月后因腹胀、气促、左下肢浮肿等症状入院的51岁女性患者，初步被诊断为深静脉血栓，最终确诊为髂动静脉瘘。经植入带膜支架后成功地封闭了瘘口。随访半年，患者恢复情况良好。总结了髂动静脉瘘被误诊的经验教训，并讨论了该病与深静脉血栓形成引起的肺动脉血栓的鉴别诊断方法。
가동정맥루시후로요추간반적제술적일충한견병발증，기표현여술후심정맥혈전형성인기적폐동맥혈전증상상사，림상상역도치오진。필자보고1례추간반절제술6개월후인복창、기촉、좌하지부종등증상입원적51세녀성환자，초보피진단위심정맥혈전，최종학진위가동정맥루。경식입대막지가후성공지봉폐료루구。수방반년，환자회복정황량호。총결료가동정맥루피오진적경험교훈，병토론료해병여심정맥혈전형성인기적폐동맥혈전적감별진단방법。
Iliac arteriovenous ifstula (AVF) usually manifests in a wide range of symptoms similar to typical deep venous thrombosis (DVT), which often lead to delayed diagnosis or misdiagnosis. We reported a 51-year old woman who was performed lumbar discectomy and showed a progressive abdominal distention, dyspnea, and swollen left leg. She was initially diagnosed as deep vein thrombosis and the ifnal diagnosis was arteriovenous ifstula. hTe ifstula was successfully sealed by an endovascular covered stent. No further recurrence was found atfer a half year’s follow-up. hTis article summarized the experience regarding iliac arteriovenous ifstula misdiagnosed, and discussed the differential diagnosis between arteriovenous ifstula and pulmonary thromboembolism causedby deep vein thrombosis.