血管腔内介入治疗内脏动脉瘤的临床研究  

Clinical Application of Endovascular Interventional Therapy for Visceral Artery Aneurysm

作　　者：阳普根 欧阳亮远 刘俊 张雅静 吴静 YANG Pugen;OUYANG Liangyuan;LIU Jun;ZHANG Yajing;WU Jing(Yichun People’s Hospital,Jiangxi Province,Yichun 336000,China;不详)

机构地区：[1]江西省宜春市人民医院,江西宜春336000

出　　处：《中国医学创新》2022年第23期138-142,共5页Medical Innovation of China

基　　金：宜春市科技计划项目(JXYC2018KSB014)。

摘　　要：目的:探讨血管腔内介入治疗内脏动脉瘤(visceral artery aneurysm,VAA)的方法、效果及安全性。方法:回顾性分析2017年7月-2020年12月宜春市人民医院采用血管腔内介入途径(弹簧圈栓塞、覆膜支架植入)治疗23例VAA患者的临床资料及术后随访,随访内容包括临床症状、动脉瘤有无复发、支架有无内漏及通畅情况、靶脏器有否梗死及梗死面积有无增大。结果:9例脾动脉瘤行弹簧圈栓塞治疗,3例脾动脉瘤行覆膜支架植入治疗;5例肝动脉瘤行弹簧圈栓塞治疗;3例胃十二指肠动脉瘤行弹簧圈栓塞治疗;2例肾动脉瘤行弹簧圈栓塞治疗,1例肾动脉瘤行覆膜支架植入治疗。所有手术均一次性成功,术后随访12~47个月,平均(23.44±12.48)个月,1例脾动脉瘤弹簧圈栓塞患者出现脾梗死,观察期间脾梗死者梗死面积未增大、未见脓肿形成,所有患者无VAA复发及其他并发症。结论:血管腔内介入治疗内脏动脉瘤,瘤腔闭塞率高,是一种简便、微创、安全有效的方法,值得临床推广应用。Objective:To explore the method,efficacy and safety of endovascular intervention for visceral artery aneurysm(VAA).Method:The clinical data and postoperative follow-up of 23 patients with visceral aneurysm treated by endovascular intervention(coil embolization,covered stent implantation)in Yichun People’s Hospital from July 2017 to December 2020 were retrospectively analyzed,follow-up included clinical symptoms,aneurysm recurrence,stent leakage and patency,target organ infarction and infarct size increase.Result:9 cases of splenic aneurysms were treated with coil embolization,3 cases of splenic aneurysms were treated with stent graft;5 cases of hepatic aneurysms were treated with coil embolization;3 cases of gastroduodenal aneurysms were treated with coil embolization;2 cases of renal aneurysms were treated with coil embolization,and 1 case of renal aneurysms was treated with stent graft.All the operations were successful at one time,and the postoperative follow-up was 12-47 months,with an average of(23.44±12.48)months.1 patient with spring coil embolization of splenic aneurysm developed splenic infarction,during the observation period,there was no increase in infarct area or abscess formation in patients with spleen infarction,and no VAA recurrence or other complications in all patients.Conclusion:Intravascular interventional treatment of visceral aneurysms has a high rate of occlusion of the tumor cavity,it is a simple,minimally invasive,safe and effective method,and it is worthy of clinical application.

关 键 词：内脏动脉瘤 血管腔内介入治疗 填塞 覆膜支架 

分 类 号：R543.5[医药卫生—心血管疾病]