腹主动脉瘤33例诊断和手术治疗体会  

Experience of diagnosing and treatment for 33 cases of abdominal aortic aneurysm.

作　　者：罗灿华[1] 潘爱珍[1] 谭羽灿[1] 徐国建[1] 何志坚[1] 

机构地区：[1]广东省佛山市第一人民医院心血管甲状腺外科,528000

出　　处：《中国实用外科杂志》2005年第11期686-687,共2页Chinese Journal of Practical Surgery

摘　　要：目的探讨腹主动脉瘤的诊断和手术治疗经验。方法1996年6月至2004年12月间,诊断和手术治疗腹主动脉瘤33例,其中胸腹主动脉瘤1例。均采用动脉瘤切除人造血管移植术。结果腹主动脉瘤破裂急诊手术7例,2例死亡。择期手术26例,无一例死亡。结论术前诊断和掌握手术时机是提高手术成功的关键。应用16排螺旋CT主动脉造影(sixteen-detector row computed tomography aortic angiography,16排螺旋CTA)在腹主动脉瘤诊断中具有无创、安全、快速、方便等优点,具有应用价值。对有手术指征的腹主动脉瘤应积极手术治疗,提高传统手术技术使腹主动脉瘤手术更为安全。Objective To discuss experience on diagnosis and operative management in patient with abdominal aortic aneurysm （AAA）. Methods Thirty-three patients with AAA received surgery in our hospital from June 1996 to December 2004. One of them belonged to type IV thoracoabdominal aortic aneurysm. All of them were treated with anerysmectomy and prosthetic grafting. Results Among the seyen patients whose anerysms ruptured before operation, two died during operation. There was no operative mortality in rest of cases. Conclusion Correct preoperative diagnosis and proper operative opportunity are the key of success. Aortic angiography using sixteen-detector row computed tomography is a safe, rapid,and non-invasive method in the diagnoses of AAA. As long as there are indications for surgery, active treatment should be given. Improving traditionally surgical skill was beneficial to safer surgery,

关 键 词：腹主动脉瘤 人工血管移植 

分 类 号：R6[医药卫生—外科学]