前关节动脉伪动脉瘤 随着关节镜脚关节: 一个案例报告
João Murilo Magalhães1, Gustavo Leite C Vieira2, Isabel Figueiredo M Pereira3
1Department of Orthopedics and Traumatology, Hospital Mater Dei, Belo Horizonte, MG, Brazil.
Journal of orthopaedic case reports
|November 24, 2025
概括
血管伪动脉瘤是脚关节镜术后的罕见但严重的并发症. 及时诊断和手术干预,如动脉绑定,对于管理前带动脉伪动脉瘤和预防严重后果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 血管外科 血管外科
- 医学案例报告 病例报告
背景情况:
- 血管并发症,如伪动脉瘤 (PA),是罕见的,但与脚关节镜术 (AA) 相关的重大风险.
- 涉及前动脉的伪动脉瘤可能会导致严重的后果,如果不及时诊断和管理.
研究的目的:
- 在脚关节透视术后报告前额关节动脉伪动脉瘤的病例.
- 突出早期诊断和术后伪动脉瘤的手术治疗的重要性.
主要方法:
- 一份病例报告详细介绍了一名68岁的男性患者,在接受阿基里斯肌切除和关节镜脚关节切除后,他患上了前阴动脉伪动脉瘤.
- 通过Duplex Doppler超声波确认了诊断.
- 治疗包括手术绑定受影响的动脉.
主要成果:
- 患者在手术后23天出现了脉动性质块.
- 双重多普勒超声检查证实了前额关动脉伪动脉瘤.
- 成功地进行了伪动脉瘤的手术绑定.
结论:
- 在关节镜检查后出现脉动性脚胀的患者中,应考虑伪动脉瘤的形成.
- 早期诊断和手术干预对于预防后关节镜伪动脉瘤的严重并发症至关重要.
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