脾动脉起始部动脉瘤的切除及血管重建的手术探讨  

Investigation of Surgical Treatment for True Aneurysm Originated in Splenic Artery

作　　者：王春喜[1] 段志泉[2] 陈刚[3] 宋清彬[2] 彭正[1] 

机构地区：[1]中国人民解放军总医院普通外科,北京100853 [2]中国医科大学第一临床学院普外三科,沈阳110001 [3]北京市石景山医院心胸周围血管外科,北京100855

出　　处：《中国现代手术学杂志》2007年第6期405-408,共4页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨脾动脉起始部动脉瘤的切除及脾动脉重建的手术方法。方法回顾性分析1996年1月～2007年3月收治的8例脾动脉起始部动脉瘤患者的临床资料，经彩色超声、CT和血管造影检查证实脾动脉起始部真性动脉瘤；均在全身麻醉下首先阻断腹腔干起始部，远端脾动脉阻断后切除动脉瘤，1例行腹腔干-脾动脉自体静脉移植，4例行肾下主动脉-脾动脉人工血管转流，3例同时切除动脉瘤和脾脏。结果均于手术后10～14d治愈出院。随访0．5～10年；其中1例人工血管转流术后2年死于急性心肌梗塞，余7例均健康生活，无动脉瘤复发。结论动脉瘤切除、脾动脉重建是一种较好的脾动脉起始部真性动脉瘤的治疗方案。Objective To investigate the surgical methods of aneurysm resection and splenic artery revascularization for true aneurysm originated in splenic artery. Methods From Jan. 1996 to Mar. 2007, 8 patients of true aneurysm originated in splenic artery who identified by color Doppler ultrasound, CT scan and angiography, were analyzed retrospectively. All patients underwent aneurysm resection, of which 5 added splenic artery reconstruction and 3 plus splenectomy. Results All patients were cured and discharged within 10 to 14 days, and followed up for 0.5 to 10 years. 7 cases survived healthily without aneurysm recurrence except 1 died of acute myocardial infarction in 2 years after operation. Conclusion Aneurysm resection and splenic artery revascularization is a preferably therapy for true aneurysm originated in splenic artery.

关 键 词：动脉瘤 脾动脉 

分 类 号：R733.2[医药卫生—肿瘤]