原发性腹主动脉消化道瘘的诊治进展  

Advances in Diagnosis and Treatment of Primary Aortoenteric Fistula

作　　者：韩利坤[1] 唐波[1] 刘冰[1] 乔海泉[1] 

机构地区：[1]哈尔滨医科大学附属第一医院普通外科

出　　处：《医学综述》2013年第18期3347-3349,共3页Medical Recapitulate

摘　　要：原发性腹主动脉消化道瘘(PAEF),发病率低,但病死率极高,是血管外科医师面临的棘手难题之一。该文回顾了近年来PAEF的相关研究,着重论述了该病的临床表现及内镜、CT、血管造影、超声等辅助检查在早期诊断中的重要意义,并比较了开腹手术(原位或异位重建)与腔内隔绝术治疗该病的优势及存在的问题等,认为早期诊断,快速手术治疗,选择合理术式,积极预防并发症等能提高该病的治愈率。Primary aortoenteric fistula （PAEF） is one of the major challenges encountered by vascular surgeon with low prevalence but significant mortality. Here is mainly to present the importance of the clinical manifestation,endoScopic examination, CT scanning, angiography and ultrasonic examination for the diagnosis of PAEF, and review the predominance and constraints of open repair in-situ or ectopic rebuilding and endo-vascular repair for PAEF, and suggest the key to improve the outcome of PAEF is by early diagnosis, appro-priate surgical treatment and complication prevention.

关 键 词：原发性腹主动脉消化道瘘 消化道大出血 腹主动脉瘤 

分 类 号：R654.3[医药卫生—外科学]