腹主动脉瘤外科治疗体会  

The Experience of Surgical Treatment of Abdominal Aortic Aneurysm

作　　者：李留峥 徐雷升 向春明 彭联芳 俸家伟 王志萍 于杰 LI Liu-zheng XU Lei-sheng XIANG Chun-ming PENG Lian-fang FENG Jia-we WANG Zhi-ping YU Jie(People＇s Hospital of Lincang, Yunnan Province 677000, Chin)

机构地区：[1]临沧市人民医院肝胆外科,云南临沧677000

出　　处：《昆明医科大学学报》2016年第8期88-91,共4页Journal of Kunming Medical University

基　　金：云南省中青年学科带头人后备人才培养基金资助项目(2006PY01-63)

摘　　要：目的总结腹主动脉瘤的外科治疗方法和经验.方法回顾性分析临沧市人民医院2010年8月至2014年12月间,行外科治疗的12例腹主动脉瘤患者的临床资料.所有患者均行B超、CT、MRI和DSA检查明确诊断,制定外科治疗方案.8例开放手术切除、人工血管移植,4例腔内修复术.结果均顺利完成手术,无围手术期死亡,出现Ⅱ型内漏1例,肺部感染1例.结论重视围手术期治疗,严格选择适应症和治疗方式,可安全完成腹主动脉瘤的外科治疗.Objective To summarize the methods and experience of surgical treatment of abdominal aortic aneurysm. Methods The clinical data of 12 patients with abdominal aortic aneurysm treated in our hospital from August 2010 to December 2014 were analyzed retrospectively. All patients were diagnosed by B ultrasound,CT, MRI and DSA, and the surgical treatment plan was established. Open surgical resection and artificial vascular graft were performed in 8 cases and endovascular repairing other 4 cases. Results All the operations were performed successfully with no perioperative mortality. One case of type II internal leakage and 1 case of pulmonary infection were observed. Conclusions The importance attached to perioperative treatment and strict selection of indications and treatment can increase the safety of the surgical performance of abdominal aortic aneurysm.

关 键 词：腹主动脉瘤 血管 外科 

分 类 号：R654.3[医药卫生—外科学]