Pseudoaneurysm in Deep Palmar Arch of the Hand

手部深部手掌動脈弧假性動脈瘤

陳煥棠(Samuel Huan-Tang Chen) ； 胡岱霖(Tai-Lin Hu) ； 莊垂慶(David Chwei-Chin Chuang)

《中華民國整形外科醫學會雜誌》 15卷1期 (2006/03) Pp. 87-92

https://doi.org/10.7096/JPSA.200603.0087

摘要

正常動脈壁全層斷裂為形成假性動脈瘤主因，假性動脈瘤在上肢尤其手部是很少發生的，一位17歲學生右手曾遭穿刺傷，一個月後理學檢查在右手拇指及食指中間靠近拇指掌肌處，有一個腫塊，超音波檢查為為16×16×16立方公厘之假性動脈瘤，手術中若此假性動脈瘤無法修補與血管重建，可將此假性動脈瘤用血管夾(Hemo-clip)夾住，並取部份血管瘤做病理檢查。
手部假性動脈瘤早期可以重建動脈，在延遲治療之病患血管重建已失去重建條件，手術時應注意手部血液循環，以免手術後，手部血液循環不足。

並列摘要

Full-thickness traumatic disruption of the normal arterial wall is the leading cause of pseudoaneurysms. Pseudoaneurysms in the upper extremity especially the deep palmar arch of the hand are rare. A 17 year-old boy developed a pesudoaneurysm in his deep palmar arch of right hand after sustaining multiple penetrating wounds. The symptoms and signs were suggestive of the diagnosis of the psendoaneurysim and was confirmed by color Doppler ultrasonography preoperatively. Total excision of the pseudo- aneurysm was performed with intraoperative evaluation of arterial circulation due to the multiple penetrating injury to the vessles and delayed diagnosis. Characteristic of pseudoaneurysms of hand and upper extremity are reviewed with further discussions on diagnostic modalities and treatment options.

並列關鍵字

pseudoaneurysm ； deep palmar arch