腹腔干、肠系膜上动脉共干部动脉瘤的切除和血管重建探讨  

Surgical Technique of Excision and Reconstruction for the Aneurysm of Common Trunk of Celiac Axis and Superior Mesenteric Artery

作　　者：王春喜[1] 陈刚[2] 王建列 梁发启[1] 宋清彬[3] 段志泉[3] 刘鸿一[1] 

机构地区：[1]中国人民解放军总医院普通外科,北京100853 [2]北京石景山医院血管外科,北京100043 [3]中国医科大学附属第一医院血管外科,沈阳110001

出　　处：《中国现代手术学杂志》2006年第5期338-342,共5页Chinese Journal of Modern Operative Surgery

基　　金：中国博士后科学基金资助中博基1999[17]

摘　　要：目的探讨腹腔干、肠系膜上动脉畸形共干部真性动脉瘤的切除以及血管重建的手术治疗方法。方法回顾性总结1998年2月至2006年4月6例患者临床资料，均在全身麻醉下行动脉瘤切除，。肾下主动脉与肝动脉、脾动脉、肠系膜上动脉行转流手术5例，行主动脉肝动脉转流、肠系膜上动脉成形术1例。结果均获得临床治愈，随访观察2月～8年，无一例复发。结论腹腔干、肠系膜上动脉畸形共干部动脉瘤切除，主动脉与内脏动脉转流或重建是一种安全有效的治疗方法。Objective To investigate the surgical technique of resection and reconstruction for the aneurysm of common trunk of celiac axis and superior mesenteric artery（SMA）. Methods 6 cases of aneurysm of common trunk of celiac axis and SMA underwent surgical treatment between Feb. 1998 and Jun. 2006 were retrospectively reviewed, including shunt between infrarenal aorta and hepatic artery, splenic artery and SMA in 5 cases, shunt between aorta and hepatic artery with simultaneous arterioplasty of SMA in 1 case. Result All cases were clinically cured with no recurrence according to 2 months to 8 years follow-up. Conclusion Excision of aneurysm of common trunk of celiac axis and SMA in combination with the shunt between aorta and visceral artery is safe and effective.

关 键 词：肠系膜上动脉 动脉瘤 腹腔干 

分 类 号：R657.2[医药卫生—外科学]