内支架置入术治疗胸腹主动脉瘤的临床评价  

Evaluation of clinic for endovascular stent grafting treatment the thoracic aortic dissection and abdominai aortic aneurysm

作　　者：周祝谦[1] 王子彬[2] 李桂杰[1] 张曙光[1] 于振海[1] 

机构地区：[1]山东大学附属千佛山医院,山东济南250014 [2]山东省胸科医院,山东济南250013

出　　处：《中国中西医结合影像学杂志》2008年第4期273-275,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的:探讨胸腹主动脉瘤的ESG治疗临床疗效。方法:对10例患者分别行CTA、MRA、DSA检查和ESG治疗,其中Stanford B型夹层动脉瘤6例,真性腹主动脉瘤2例,肾动脉开口以下腹主动脉瘤2例(行分体式支架),所有病例均采用带膜支架。结果:8例行一体式支架腔内隔绝术,2例行分体式支架腔内隔绝术,均获成功。顺利植入,术后造影提示动脉瘤消失,无内漏发生。患者症状完全消失,全部患者在随访期间均未出现术前症状,未见相关并发症。结论:应用ESG治疗胸腹主动脉瘤安全、有效、创伤小、术后恢复快,长期疗效尚待进一步观察。Objective： Discussed the curative effect of clinic of the thoracic aortic dissections（TAD） and abdominal aortic aneu rysm（AAA） with the endovascular stent grafting（ESG）. Methods： Ten cases sufferer had examined with CTA, MRA, DSA and ESG. All cases with the Stanford B was 6 cases and AAA was 4 cases, the covered stent was performed in all cases. Results： Without exception succeed in 8 cases with singletype endovascular stent graft exclusion and 2 cases with fission endovascular stent graft exclusion, aneurysm was disappeared in DSA and symptom was dispeled completely and no accident related to the dissection and operation occurred. Conclusion： Endovascular graft exclusion may be a safe and effective treatment for TAD and AAA, further follow is necessary to evaluate its long-term effect.

关 键 词：主动脉瘤 支架 腔内隔绝术 

分 类 号：R543.16[医药卫生—心血管疾病] R815[医药卫生—内科学]