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題名 | Effective Treatment for Recurrent Perigraft Seromas of Upper Arm Polytetrafluoroethylene Grafts: Report of Two Cases=復發之人工血管旁漿液瘤的外科處理--二例報告 |
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作 者 | 柯博仁; 劉永恆; 朱肇基; 林萍章; | 書刊名 | 長庚醫學 |
卷期 | 26:6 2003.06[民92.06] |
頁次 | 頁440-443 |
分類號 | 416.26 |
關鍵詞 | 人工血管; 血管旁漿液瘤; 洗腎通路; Dialysis graft; Perigraft seroma; Pseudocapsule; Graft revision; |
語文 | 英文(English) |
中文摘要 | 洗腎用人工血管術後的併廢症之中,血管旁漿液瘤(perigraft seroma)雖然少見,但卻不好處理,並可能造成感染,?管阻厭及洗腎不易。最常用的處理方式即是手術清創及引流,但是復發的可能性不低。本病例報告提出了兩例人工血管週圍漿液瘤,皆是多次手術後再復發的案例。二者經切除漿液瘤的;假性內膜(Pseudocapsule),加以人工血管進血液之改手術,成功的治療了漿液瘤,追蹤了四個月皆無復發。本報告描述了洗腎用人工血管旁漿液瘤的一個有效且簡單的處理方法。 |
英文摘要 | Aomng the possible complications of hemodialysis polytetrafluoroethylene (PTFE) graft creation, perigraft seromas are rare, but sometimes troublesome. Debridement with drainage is usually the method of treatment. However, recurrence is not unusual. Herein we describe 2 cases of recurrent perigraft seroma treated by a simple but effective surgical method: excision of the pseudocapsule and revision of the arterial inlet. This method converted the brachial artery to axillary vein dialysis graft into an upper arm axillary artery to axillary vein loop bridge graft and eliminated the seroma. No recurrence was noted after a 4-month follow-up period. This surgical method may be a simple and effective solution for dialysis graft seromas. |
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