一体式覆膜支架在腹主动脉腔内修复中的应用  

Endovascular aneurysm repair with unibody bifurcated stent grafts

作　　者：黄建华[1] 王伟[1] 欧阳洋[1] 王宪伟[1] 刘光强[1] 李刚[2] 蔡舟[1] 吴科敏 杨璞[1] 

机构地区：[1]中南大学湘雅医院血管外科,湖南长沙410008 [2]中南大学湘雅医院介入科,湖南长沙410008

出　　处：《中国普通外科杂志》2016年第6期809-813,共5页China Journal of General Surgery

基　　金：湖南省科学技术厅重点科研计划资助项目(2015SK2017)

摘　　要：目的：总结一体式覆膜支架在腹主动脉以及髂动脉病变中的应用效果。方法：回顾性分析应用一体式腹主动脉覆膜支架腔内修复腹主动脉瘤15例、髂动脉瘤5例及腹主动脉或髂动脉夹层5例的临床资料。结果：平均时间42.4min，手术成功率100%（25/25）。术后无I、III型内漏，发生髂动脉血栓形成1例，围术期无死亡病例。随访3~16个月复查无动脉瘤复发和II型内漏。结论：一体式覆膜支架是腹主动脉瘤和夹层动脉瘤腔内治疗方法的一种较好选择，具有快速、简单、有效的优点；其远期疗效需进一步观察。Objective：To evaluate the effcacy of using unibody bifurcated stent gratfs in endovascular aneurysm repair. Methods：hTe clinical data of 15 patients with abdominal aortic aneurysm, 5 patients with iliac aortic aneurysm and 5 patients with abdominal aortic or iliac aortic dissection undergoing endovascular aneurysm repair with unibody bifurcated stent gratfs （Shanghai MicroPort Medical Co., Ltd.） were retrospectively analysed. Results：hTe surgical success rate was 100%（25/25） with an overage operative time of 42.4 min. No type I or type III endoleak occurred, iliac thrombosis occurred in one case atfer operation and on death occurred during perioperative period. Follow-up was conducted for 3 to 16 months and no type II endoleak was noted during review visits. Conclusion：Endovascular aneurysm repair using unibody bifurcated stent graft is a preferable choice of the treatment options for abdominal aortic aneurysm or dissecting aneurysm. However, the long term results still need to be veriifed.

关 键 词：动脉瘤 动脉瘤 夹层 血管内操作 支架 

分 类 号：R654.3[医药卫生—外科学]