肠系膜上动脉分支动脉瘤破裂致腹腔出血介入治疗1例  

Interventional Therapy for 1 Case of Abdominal Bleeding Caused by Rupture of Superior Mesenteric Artery Aneurysms

作　　者：吴远哲 WU Yuanzhe(Interventional Department,Shantou University School of Medicine the First Affiliated Hospital,Shantou,Guangdong 515041;Intervention Department,Shantou City Chaonan Minsheng Hospital,Shantou 515152,Guangdong Shantou)

机构地区：[1]汕头大学医学院第一附属医院介入科,广东汕头515041 [2]汕头市潮南民生医院介入科,广东汕头515152

出　　处：《智慧健康》2024年第28期96-98,102,共4页Smart Healthcare

摘　　要：内脏动脉瘤(visceral artery aneurysm,VAA)被认为是一种少见的和潜在的致命性疾病,其患病率为0.1%~2%,而肠系膜上动脉瘤(superior mesenteric artery aneurysms,SMAAs)是罕见的内脏动脉瘤,约占内脏动脉瘤的5.5%。SMAAs破裂发生率高达80%,破裂后死亡率为25%~70%。介入治疗为内脏动脉瘤的主要治疗方式。本文采用明胶海绵颗粒联合微型弹簧圈栓塞肠系膜上动脉空肠动脉分支血管治疗肠系膜上动脉分支动脉瘤破裂出血,并分析其治疗效果。Visceral artery aneurysm(VAA)is considered a rare and potentially fatal disease,with a prevalence rate of 0.1%~2%.Superior mesenteric artery aneurysms(SMAAs)are very rare visceral aneurysms,accounting for approximately 5.5%of all visceral aneurysms.Incidence of SMAAs rupture is as high as 80%,and the mortality rate after rupture is 25%~70%.Interventional therapy has become the main treatment method for visceral aneurysms.The paper treats rupture and bleeding of SMAAs with gelfoam particles combined with miniature coil embolization for branches of the superior mesenteric artery and jejunal artery.

关 键 词：肠系膜上动脉瘤 腹腔出血 腔内栓塞 

分 类 号：R572.3[医药卫生—消化系统]