主动脉假性动脉瘤腔内修复治疗13例临床效果分析  

Cfinlcai effect analysis of endovascular repair for aortic pseudoaneurysms in 13 cases

作　　者：王丙龙 杨睿 王佳力澜 贾嫣获 王国涛 

机构地区：[1]山西省运城市中心医院血管外科,044000

出　　处：《中华医学杂志》2017年第2期127-130,共4页National Medical Journal of China

摘　　要：目的探讨主动脉假性动脉瘤腔内修复治疗的效果。方法回顾性分析运城市中心医院血管外科2008年10月至2015年10月13例主动脉假性动脉瘤患者的临床资料，其中男11例，女2例；平均年龄55.6岁；降主动脉假性动脉瘤4例，感染性腹主动脉假性动脉瘤4例，白塞病并发腹主动脉假性动脉瘤4例，原因不明腹主动脉假性动脉瘤者1例。13例术前均完成CT动脉造影（CTA）等检查，均行主动脉腔内修复术（EVAR）。结果13例患者共放置覆膜支架14枚，术后无Ⅰ型内漏、截瘫、大出血等并发症，无围手术期死亡病例，技术成功率100%。随访患者13例，失访1例，12例患者随访期间总死亡率8.3%，存活率91.7%，1例白塞病合并假性动脉瘤复发破裂死亡，1例感染性腹主动脉假性动脉瘤复发，行假性动脉瘤切除解剖外旁路人工血管转流术后好转。结论主动脉腔内修复术治疗主动脉假性动脉瘤患者是相对安全、有效的。Objective To discuss the clinical safety and efficacyof endovascular aneurysm repair （EVAR） for aortic pseudoaneurysms. Methods From October 2008 to October 2015, 13 patients （ 11 male, 2female, with a mean age of 55.6） with aortic pseudoaneurysms treated by EVAR wereenrolled. All the 13 casesunderwentcomputed tomographic arteriography （ CTA ） . The etiology diagnosis withdescendingaortic pseudoaneurysms, infected abdominal aortic pseudoaneurysms, abdominal aortic pseudoaneurysmsin Behcet＇s syndrome, and uncertain reasons were 4, 4, 4, and 1 case, respectively. Results In this group, 14 stentswere planted. All the patients hadno accidents and complications in perioperative period. Twelve patients were successfully followed up, 1 patient died of recurrent abdominal aortic pseudoaneurysmsin Behcet＇s syndrome, and 1 patient with recurrent infected abdominal aortic pseudoaneurysm wascured by pseudoaneurysm resection and extra-anatomic bypass grafting. Coneluson EYAR is a safe and effective option for aortic pseudoaneurysms.

关 键 词：主动脉 假性动脉瘤 覆膜支架 腔内修复术 

分 类 号：R654.3[医药卫生—外科学]