腔内修复术治疗复杂型腹主动脉瘤的近期疗效观察  

Short-term results of endovascular repair in complicated abdominal aortic aneurysm

作　　者：黄水传[1] 黎思毅[1] 张智[1] 张远起[1] 黄胜超[1] 李建文[1] 陈小东[1] 

机构地区：[1]广东医学院附属医院血管外科,广东湛江524001

出　　处：《广东医学院学报》2012年第6期619-621,共3页Journal of Guangdong Medical College

摘　　要：目的观察血管腔内修复术治疗复杂型腹主动脉瘤(AAA)的近期疗效。方法回顾性分析2009年1月至2012年6月我科收治的11例复杂型AAA患者的临床资料。结果 11例患者均接受腔内修复术,植入分叉型支架,手术成功率100%。2例术中出现Ⅰ型内漏,予单纯球囊扩张后置入Cuff内漏消失。随访1～12个月,1例术后3个月发现Ⅰ型内漏,以球囊扩张后置入Cuff内漏消失,余均无内漏、无支架明显移位及动脉瘤腔内血栓形成。结论腔内修复术治疗复杂型AAA具有良好的近期疗效。Objective To observe the short-term efficacy of endovascular repair in complicated abdominal aortic aneurysm （AAA）. Methods Clinical data of 11 complicated AAA cases underwent endovascular repair were analyzed retrospectively between January 2009 and June 2012. Results Endovascular repair and bifurcation stent implantation were performed successfully on all cases. Type I endoleak was sealed by simple balloon dilatation and cuffmg in two patients during operation. All patients were followed up for 1~12 months. Only one patient presented with type I endoleak treated by balloon dilatation and cuffing 3 months postoperation, the others had no endoleak, stent displacement and thrombosis. Gonclusion Endovascular repair can achieve a good short-term efficacy in complicated AAA patients.

关 键 词：腹主动脉瘤 腔内修复术 球囊扩张 

分 类 号：R654.3[医药卫生—外科学]