在近端钉钉后深 Femoris 动脉伪动脉瘤:一个案例报告
Seyyid Y Maatou1, Simon Koulischer1, Denis Bataille2
1Orthopaedics and Traumatology, CHU Saint-Pierre Site Porte de Hal, Brussels, BEL.
Cureus
|February 9, 2026
概括
一种罕见的血管并发症,深大腿动脉伪动脉瘤,可以发生在关节骨折固定后,特别是在二次创伤. 及时诊断和多学科护理对于成功的结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 血管外科 血管外科
- 创伤管理 创伤管理
背景情况:
- 骨折在老年人中很常见,通常是由于低能量的创伤造成的.
- 血管并发症虽然很少见,但可能危及生命,伪动脉瘤是潜在的风险.
- 在部骨折固定后移位的骨片可以损伤相邻的血管.
研究的目的:
- 在骨骨折固定后报告一个深大腿动脉伪动脉瘤病例.
- 突出这一罕见并发症的诊断挑战和管理策略.
- 强调在骨科手术后管理血管损伤的多学科方法的重要性.
主要方法:
- 一个68岁男性的病例报告,患有下骨折,用玛指甲固定治疗.
- 初始无事件的术后过程,其次是导致植入物移位的二次跌倒.
- 诊断证实通过计算机断层扫描血管造影显示深大腿动脉伪动脉瘤.
- 治疗涉及骨科减少和固定,随后是血管内支架的安置.
主要成果:
- 一个移位的小三角骨碎片被确定为伪动脉瘤的原因.
- 进行了成功的结合骨科和血管干预.
- 患者在干预后两个月实现了骨折结合,并恢复了无疼痛的运动能力.
- 在随访期间没有报告任何重大并发症.
结论:
- 在部骨折患者中,应怀疑血管损伤,特别是伪动脉瘤,患有持续性贫血或胀,特别是在二次创伤后.
- 早期血管成像对于及时诊断至关重要.
- 涉及骨科和血管专家的多学科管理对于最佳患者结果至关重要.
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