创伤性血管病变的腔内治疗  

Endovascular treatment for traumatic arterial lesions

作　　者：郭伟[1] 刘小平[1] 盖鲁粤[2] 杨庭树[2] 梁发启[1] 张国华[1] 李荣[1] 

机构地区：[1]解放军总医院普通外科,北京100853 [2]解放军总医院心内科,北京100853

出　　处：《中华普通外科杂志》2002年第5期291-292,共2页Chinese Journal of General Surgery

基　　金：九五军队医药卫生重点课题资助项目 (97Z0 60 )

摘　　要：目的　探讨微创血管腔内技术治疗创伤性血管病变的可行性。方法　对已进行腔内治疗的 6例创伤性血管病变进行回顾性分析。结果　 6例创伤性血管病变包括颈总动脉假性动脉瘤、锁骨下动静脉瘘、胸主动脉假性动脉瘤、髂动静脉瘘、髂动脉假性动脉瘤、股浅动脉假性动脉瘤各 1例。所有病变均在局部麻醉下进行 ,经腔内移植物治疗后均立刻重建血流通道。 6例均得到随访 ,2个月至 4年内所有移植物均通畅。无任何并发症。结论　腔内技术治疗创伤性血管病变具有成功率高、并发症少、损伤小等优点 。Objective To discuss the feasibility of endovascular treatment for traumatic arterial lesions.MethodSix patients treated by endovascular stent grafts were retrospectively reviewed.Result Patients consisted of left common carotid artery pseudoaneurysm, right subclavian arteriovenous fistula,thoracic aortic pseudoaneurysm, righ iliac arteriovenous fistula,left iliac arterial pseudoaneursym and femoral arterial pseudoaneurysm. All of the patients abtained the blood flow reconstruction without any complications after endoluminal therapy under local anesthesia. No occlusion appeared during follow up.Conclusion The stent grafts appear to be associated with a low morbidity, high success rate, and less traumatic procedure. Endovascular management is an important tool for the treatment of vascular trauma.

关 键 词：创伤性血管病变 腔内治疗 假动脉瘤 血管瘘 血管外科手术 

分 类 号：R654.3[医药卫生—外科学]