血管腔内支架成形术对肠系膜上动脉狭窄的疗效  

Clinical efficacy of endovascular stent implantation in the treatment of superior mesenteric artery stenosis

作　　者：杨志 王家兴 张杰 杨林 张贯博 李刚 李金凇 蒋世界 YANG Zhi;WANG Jiazing;ZHANG Jie;YANG Lin;ZHANG Guanbo;LI Gang;LI Jinsong;JIANG Shijie(Department of Hepatobiliary and Vascular Surgery,Chengdu Municipal Seventh People's Hospital,Chengdu,Sichuan Province 610000,China)

机构地区：[1]成都市第七人民医院肝胆外科和血管外科,四川成都610000

出　　处：《介入放射学杂志》2024年第11期1217-1220,共4页Journal of Interventional Radiology

摘　　要：目的评价血管腔内支架成形术治疗肠系膜上动脉狭窄的安全性及有效性。方法对2019年5月至2023年5月成都市第七人民医院诊断为肠系膜上动脉狭窄的21例患者行血管腔内支架成形术治疗,评价治疗效果。结果21例肠系膜上动脉狭窄患者均手术成功,所有患者术后腹痛消失。随访3~24个月,19例患者无明显腹痛等症状,2例患者再次出现腹痛,经检查发现为支架内再狭窄,再次行介入手术处理后腹痛消失,所有患者均未出现肠坏死、死亡等严重并发症。结论血管腔内支架成形术治疗肠系膜上动脉狭窄是一种安全、有效、微创的方法。Objective To evaluate the clinical safety and efficacy of endovascular stent implantation in treating superior mesenteric artery stenosis.Methods The clinical data of 21 patients with superior mesenteric artery stenosis,who received endovascular stent implantation at the Chengdu Municipal Seventh People′s Hospital of China from May 2019 to May 2023,were retrospectively analyzed,and its curative effect was evaluated.Results Successful endovascular stent implantation was accomplished in all the 21 patients.After surgery,the abdominal pain disappeared in all patients.All patients were followed up for 3-24 months.No obvious abdominal pain or other symptoms was observed in 19 patients.Two patients presented with abdominal pain again,and examination revealed that it was caused by an in-stent restenosis,and the abdominal pain disappeared after another interventional procedure.No severe complications such as intestinal necrosis or death occurred in all patients.Conclusion For superior mesenteric artery stenosis,endovascular stent implantation is a safe,effective and minimally-invasive treatment.

关 键 词：肠系膜上动脉狭窄 支架治疗 肠缺血 介入治疗 

分 类 号：R543.5[医药卫生—心血管疾病]