孤立性髂动脉瘤6例临床诊疗分析  

Isolated iliac artery aneurysms:analysis of clinical diagnosis and treatment of 6 patients

作　　者：杜柏林 刘鹏[2] 宋民芳 DU Bolin;LIU Peng;SONG Minfang(School of Clinical Medicine,Jining Medical College,Jining,Shandong Province 272000,China)

机构地区：[1]济宁医学院临床医学院,山东济宁272000 [2]济宁医学院附属医院血管外科 [3]济宁医学院附属医院神经内科

出　　处：《介入放射学杂志》2024年第10期1116-1120,共5页Journal of Interventional Radiology

基　　金：山东省济宁市重点研发计划(2022YXNS083);济宁医学院附属医院博士科研基金(2021-BS-018)。

摘　　要：目的探讨孤立性骼动脉瘤(isolated iliac artery aneurysms,IIAA)临床诊断和治疗技术。方法回顾性分析2020年1月至2023年9月济宁医学院附属医院诊断为IIAA的6例患者临床资料和治疗过程。其中男4例,女2例,年龄(72.3±5.3)岁(64~79岁)。结果6例患者均顺利成功完成手术,其中介入治疗5例,开放手术1例。5例患侧髂内动脉获栓塞,1例经髂动脉分支支架技术重建髂内动脉,均未出现Ⅰ、Ⅱ型内漏。术后所有患者均未出现穿刺点出血、臀肌跛行、结肠缺血、脊髓缺血等并发症。结论介入治疗具有损伤小、出血量少、恢复快、并发症少、住院时间短、死亡率低等优点,已逐渐取代传统手术成为IIAA主要治疗方法。Objective To discuss the clinical diagnosis and treatment of isolated iliac artery aneurysms(IIAA).Methods The clinical data and therapeutic process of 6 patients,who were diagnosed as IIAA at the Affiliated Hospital of Jining Medical College of China from January 2020 to September 2023,were retrospectively analyzed.Of the 6 patients,4 were male and 2 were female,with a mean age of(72.3±5.3)years(range of 64-79 years).Results Successful operation was accomplished in all the 6 patients.Interventional treatment was adopted in 5 patients and open surgery was carried out in one patient.Five patients received interventional embolization of the affected internal iliac artery,and one patient received reconstruction of internal iliac artery by using stenting technique through iliac artery branch approach.No endoleak of typeⅠor typeⅡoccurred.After treatment,none of the patients developed complications such as puncture-point bleeding,gluteal claudication,colonic ischemia,or spinal cord ischemia.Conclusion Interventional therapy has the advantages of less damage,less bleeding,quick recovery,fewer complications,shorter hospital stay and lower mortality,which has gradually replaced the traditional surgery in clinical practice and has become the primary treatment approach for IIAA.

关 键 词：孤立性髂动脉瘤 覆膜支架血管内隔绝术 髂动脉分支支架 内漏 

分 类 号：R732.2[医药卫生—肿瘤]