[1]杜柏林,张 欣,刘 鹏,等.血管外膜囊肿临床诊疗分析[J].介入放射学杂志,2026,(05):538-545.[doi:10.3969/j.issn.1008-794X.2026.05.013 ]
 DU Bolin,ZHANG Xin,LIU Peng,et al.Clinical diagnosis and treatment of adventitial cystic disease[J].J Intervent Med,2026,(05):538-545.[doi:10.3969/j.issn.1008-794X.2026.05.013 ]
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血管外膜囊肿临床诊疗分析()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2026年05
页码:
538-545
栏目:
临床研究
出版日期:
2026-05-25

文章信息/Info

Title:
Clinical diagnosis and treatment of adventitial cystic disease
文章编号:
1008-794X(2026)-005-0538-07
作者:
杜柏林 张 欣 刘 鹏 宋民芳
272000 山东济宁 济宁医学院(杜柏林、张 欣); 济宁医学院附属医院血管外科(刘 鹏),神经内科(宋民芳)
Author(s):
DU BolinZHANG XinLIU PengSONG Minfang.
Jining Medical College,Jining,Shandong Province 272000,China
关键词:
血管外膜囊肿 诊断 间歇性跛行 人工血管移植术 复发
分类号:
R654.3
DOI:
10.3969/j.issn.1008-794X.2026.05.013
文献标志码:
B
摘要:
目的 探讨血管外膜囊肿(adventitial cystic disease,ACD)临床特征及诊疗技术。方法 回顾性分析2017年3月至2025年1月济宁医学院附属医院血管外科诊断为ACD的7例患者临床资料和治疗过程。结果 7例患者均顺利成功完成手术。2例患者行囊肿及病变段血管切除+人工血管移植术,2例行囊肿及病变段血管切除+自体大隐静脉移植术,1例行单纯囊肿及病变段血管切除+端端吻合,1例行支架植入术,1例行囊肿切开+无水乙醇破坏囊壁。1例患者术后5年因左下肢间歇性跛行,跛行距离10余米,行下肢CT动脉造影(CTA)和彩超检查提示:左侧髂外动脉闭塞、左侧股动脉、股深动脉近段管腔轻中度狭窄,行“经皮下肢动脉药物机械性血栓清除术(左)+股动脉球囊扩张成形术+下肢动脉造影”,现患侧髂股动脉血流通畅。中位随访68.5个月(2~94个月),除患者5术后人工血管闭塞,余患者复查下肢CTA、CT静脉造影(CTV)或彩超均提示患肢自体大隐静脉或人工血管内血流充盈可,未见明显狭窄及扩张,且均无复发、感染、血栓形成或栓塞等相关并发症发生,无围手术期死亡。结论 囊肿及病变段血管切除联合血运重建治疗ACD的远期通畅率较好,值得注意的是,人工血管需警惕远期闭塞风险,亦可根据患者病情选择囊肿及病变段血管切除吻合/支架植入/囊肿切开等方案。

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(收稿日期:2025-03-12)
(本文编辑:茹 实)

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备注/Memo

备注/Memo:
基金项目: 山东省自然科学基金(ZR2019QH008); 济宁市重点研发计划(2022YXNS083); 济宁医学院附属医院博士科研基金(2021-BS-018); 2022年度高层次科研项目培育计划(JYGC2022FKJ003)
通信作者: 刘 鹏 E-mail:jyfyliupeng@163.com
更新日期/Last Update: 2026-05-25