纤维蛋白胶在处理破裂腹主动脉瘤腔内隔绝术中Ia型内漏的疗效  

作　　者：倪建琦 沈兰 金琴 王国亮 许浏 沈一峰 

机构地区：[1]浙江省嘉兴市第一医院,314001

出　　处：《浙江临床医学》2024年第4期537-538,共2页Zhejiang Clinical Medical Journal

基　　金：嘉兴市科技计划项目(2019AD32296)。

摘　　要：目的观察应用纤维蛋白胶填塞技术处理破裂腹主动脉瘤腔内隔绝术中Ia型内漏的疗效,评价其可行性、安全性及有效性。方法2010年10月至2022年1月腹主动脉瘤破裂患者47例,完成腹主动脉瘤腔内隔绝术45例,其中男36例,女9例;年龄28~93岁(70±4)岁,13例术中应用纤维蛋白胶填塞术治疗Ⅰa型内漏。术后3、6、12个月复查患者主动脉CT血管造影(CTA)。结果13例术中使用纤维蛋白胶填塞治疗,术中造影提示内漏均消失,患者病情稳定出院。随访1年,13例患者,3例非主动脉因素死亡,其余10例术后3、6、12个月复查主动脉CTA结果均未发现内漏。结论纤维蛋白胶填塞在治疗破裂腹主动脉瘤腔内隔绝术中的Ⅰa型内漏中是安全有效的。Objective To evaluate the feasibility,safety and efficacy of fibrin glue packing in the treatment of type Ia internal leakage during endovascular exclusion of ruptured abdominal aortic aneurysm.Methods Forty-seven cases of abdominal aortic aneurysm rupture diagnosed in our hospital from October 2010 to January 2022 were reviewed.Forty-five patients with abdominal aortic aneurysm were treated with endovascular graft exclusion.There were 36 males and 9 females,the mean age was(70±4)years(range from 28 to 93 years).13patients(28.9%)were treated with fibrin glue tamponade.Aortic CTA was performed at 3,6 and 12 months after the operation.Results 13 cases were treated with fibrin glue tamponade during the operation.The internal leakage disappeared during the operation,and the patients were discharged from hospital in a stable condition.During 1-year follow-up,3 of 13 patients died of non-aortic causes,and no endoleak was found in the remaining 10 patients by CTA at 3,6,and 12 months after the operation.Conclusion fibrin glue packing is safe and effective in the treatment of type Ia internal leakage of ruptured abdominal aortic aneurysm.

关 键 词：破裂腹主动脉瘤 纤维蛋白胶 Ia型内漏 

分 类 号：R654.3[医药卫生—外科学]