【摘要】 目的 结合诊治白塞病合并动脉瘤/假性动脉瘤初步体会，探讨对该病的治疗策略。 方法 本组患者均为青壮年男性，具有典型的白塞病的临床表现。因反复动脉瘤及假性动脉瘤形成，共接受8次外科手术治疗。其中，2例患者手术前、术后针对原发病予以药物治疗(糖皮质激素、免疫抑制剂)，1例患者自始至终对原发病未进行任何处理。 结果 对原发病进行药物干预，待急性期过后再行手术治疗的患者，疗效满意;对原发病未行任何治疗即急于外科手术者，随访期间动脉瘤/假性动脉瘤频繁发生，疗效甚差。 结论 白塞病合并(假性)动脉瘤在治疗上尚有很多问题未解决，关键要提高对该病的认识，切勿忽视原发病的治疗。应严格掌握治疗原则及手术技巧，并对每一位患者进行定期随访。

    关键词 白塞病 动脉瘤/假性动脉瘤 治疗

    Therapeutic options for Behcets disease combined with aneurysm

    Yang Baozhong，Wu Qinghua，Han Yanmin，et al.

    Department of Vascular Surgery，Beijing Anzhen Hospital Affiliated to Capital University of Medical Science，Beijing100029.

    【Abstract】 Objective To study the therapeutic options for Behcets disease combined with aneurysm through our experience and literature review.Methods All patients in this group underwent8operations for recurrent a-neurysm and/or pseudoaneurysm formation.2patients received medical treatment(glucocorticoid and immuno impres-sion agent)before and after operation，1patient was not treated for primary disease during the course of illness.Re-sults The patients treated medically before and after operation gained satisfactory therapeutic result ......