脊柱动脉静脉:膝关节关节镜检查的一个罕见并发症
Harminder Sandhu1, Sonal Kaushik2, Michael Hudson2
1Radiology, Michigan State University, Detroit, USA.
Cureus
|April 28, 2025
概括
创血性动脉静脉囊 (AVF) 形成是膝关节关节镜术的罕见并发症. 及时诊断和手术修复至关重要,以防止肢体危险的并发症,并确保良好的患者结果.
科学领域:
- 整形外科手术 整形外科手术
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 关节镜膝关节手术是一种常见的微创手术.
- 并发症很少见,但可能会发生二次发生形动脉静脉瘤 (AVF) 形成的二次发生形动脉损伤.
- 延迟诊断AVF可能导致严重的肢体威胁并发症.
研究的目的:
- 报告膝关节关节镜检查后出现症状性阳性波立体动脉静脉囊形成的病例.
- 为了强调在膝关节关节镜检查后对血管损伤的高度临床怀疑的重要性.
- 讨论预防,诊断和管理阳性AVF.
主要方法:
- 一个33岁妇女的病例报告.
- 通过体检和成像检查 (MRI) 确认了诊断.
- 治疗涉及AVF的开放性手术取下与动脉和静脉修复.
主要成果:
- 患者在关节镜检查后两周出现了小腿疼痛,胀和关节障碍.
- 鉴定出左侧尾动脉静脉和静脉伪动脉瘤.
- 成功的手术修复导致症状消失,并恢复到基线行走.
结论:
- 阳性波普立体AVF是一种罕见但严重的膝关节关节镜术并发症.
- 及时诊断和干预对于避免肢体威胁的结果至关重要.
- 医生应保持对血管损伤的高度怀疑指数,特别是在后腔膝关节手术中.
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