中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (12): 1044-1045.

• 论著 • 上一篇    下一篇

医源性股动静脉瘘6例诊治体会

梁思渊1,刘晓兵2,牟永华1,蒋米尔2   

  1. 1浙江省台州市立医院普外科,浙江台州318000;2 上海交通大学医学院附属第九人民医院血管外科,上海200011
  • 出版日期:2010-12-01 发布日期:2010-11-25

  • Online:2010-12-01 Published:2010-11-25

摘要:

目的    探讨分析医源性股动静脉瘘的诊治经验。方法    回顾性分析2004年1月至2009年8月浙江省台州市立医院普外科收治的6例医源性股动静脉瘘病人的临床资料。结果    6例病人均为下肢动脉介入术后发生股动静脉瘘,瘘口位于股总动脉3例、股浅动脉2例、股深动脉1例,均以彩超检查明确诊断,瘘口直径2~4mm,均行瘘口修补术。结论    彩超是医源性股动静脉瘘的诊断首选方法,积极的手术治疗仍是目前国内比较经济有效、可操作性强、并发症少的治疗方法。

关键词: 彩超, 动静脉瘘, 导管插入术

Abstract:

Diagnostic and treatable experience of the iatrogenic femoral arteriovenous fistulas: retrospective analysis of 6 cases        LIANG Si-yuan*, LIU Xiao-bing, MOU Yong-hua ,et al.*Department of General Surgery, Taizhou Municipal Hospital, Taizhou  318000, China
Corresponding author :LIANG Si-yuan,E-mail:24245857@qq. com
Abstract    Objective    To evaluate the diagnostic and treatable experience of the iatrogenic femoral arteriovenous fistulas. Methods    We analyzed 6 patients with iatrogenic femoral arteriovenous fistulas in the methods of diagnosis and treatment during January 2004 to August 2009 retrospectively. Results    6 patients were all detected post catheterization, diagnosed with color doppler ultrasonography as arteriovenous fistulas, 3 in common femoral artery, 2 in superficial femoral artery, 1 in profound femoral artery. The size of the fistula was between 2~4 mm. All the patients were treated with open surgery of fistula repairment. Conclusion    Color doppler ultrasonography could be the first choice in the diagnosis of iatrogenic femoral arteriovenous fistulas, and promptly open surgery is still the economical and maneuverability treatment in low morbidities.

Key words: color doppler ultrasonography, arteriovenous fistula, catheterization