中国冶金工业医学杂志

肾下型腹主动脉瘤腔内治疗18例临床分析

作者：王志强徐瑞剑毕克毅王俊杰张红

分类号：中图分类号：R 656文献标志码：A文章编号：1005-5495(

出版年,卷(期):页码：2013,30(4):377-379

摘要：

摘要：目的探讨腹主动脉覆膜支架植入术治疗肾下型腹主动脉瘤的手术经验及临床疗效。方法回顾性分析2009年5月至2012年4月我院心胸血管外科采用腹主动脉覆膜支架植入术治疗肾下型腹主动脉瘤18例临床资料。结果18例腹主动脉瘤腔内修复均获得成功，共植入带膜支架38枚。术后当时出现内漏10例,其中Ⅰ型内漏6例（近端2例，1例经球囊扩张后内漏消失，1例接主体延支后内漏消失；远端4例，2例球囊扩张后内漏消失，2例接延长髂腿后消失）,Ⅱ型内漏2例,未予处理；Ⅲ型内漏2例, 经球囊扩张后内漏消失。结论肾下型腹主动脉瘤覆膜植入术是安全有效的方法，内漏是其主要并发症，其治疗成功的关键在于掌握适应证及操作技巧、正确处理并发症以及伴随疾病的治疗。肾下型腹主动脉瘤应用覆膜支架植入术治疗，对符合适应证的患者具有明显的优势。

Abstract:ObjectiveDiscuss the operation experience and clinical efficacy effect of abdominal aorta tectorial stent implantation for the treatment of infrarenal abdominal aortic aneurysmMethodsA retrospective analysis of the 18 cases clinical data of abdominal aorta tectorial stent implantation for the treatment of infrarenal abdominal aortic aneurysm during 2009 May to 2012 April in our hospital cardiothoracic surgeryResults18 cases of endovascular repair the abdominal aortic aneurysms were all successfully,total implanted 38 trunks( including 1 linear tubular type,17 bifid type,1 main extension branch,19 iliac extension branch)Postoperative,we found 10 cases of endoleak immediately, including 6 cases of type\|I(2 proximal cases,1 endoleak disappearing after treated with balloon dilatation,1 endoleak disappearing after received main extension branch；4 distal cases,2 endoleak disappearing after treated with balloon dilatation,2 endoleak disappearing after received iliac extension branch),2 cases of type\|Ⅱ,untreated；2 cases of type\|Ⅲ,disappearing after treated with balloon dilatationConclusionThe treatment of infrarenal abdominal aortic aneurysm by tectorial stent implantation was a safe and effective method, the endoleak was the main complicationThe key to the successful treatment inclunding：Master indication,operation skill, proper treatment of complication and concomitantApplication the tectorial stent implantation to treat the infrarenal abdominal aortic aneurysms patients with indication had obvious advantages

基金项目：

作者简介：

参考文献：

[1]吴义生,陈剑秋腹主动脉瘤的腔内治疗进展\[J\]医学综述，2010，16（10）：1541\|1543

[2]黄福华,孙立忠血管支架在腹主动脉瘤治疗中的应用及进展\[J\]北京生物医学工程，2008，27(3)：320\|323

[3]刘昌伟，刘暴，吴巍巍腹主动脉瘤腔内治疗84 例分析\[J\]中国实用外科杂志，2009，29(11)：913\|915

[4]张京岚,陈忠，陈尧主动脉瘤腔内修复术治疗腹主动脉瘤围术期临床特点及预后分析\[J\]实用医学杂志，2010，26(15)：2768\|2770

[5]周建峰腔内隔绝术治疗腹主动脉瘤的疗效观察\[J\]苏州大学学报(医学版)， 2007，27(2)：316

服务与反馈：

【文章下载】【加入收藏】