鹿凯, 刘巍立, 崔凤奎, 郭伟. 肾下型腹主动脉瘤腔内治疗70例临床分析[J]. 解放军医学院学报, 2017, 38(10): 943-945. DOI: 10.3969/j.issn.2095-5227.2017.10.010
引用本文: 鹿凯, 刘巍立, 崔凤奎, 郭伟. 肾下型腹主动脉瘤腔内治疗70例临床分析[J]. 解放军医学院学报, 2017, 38(10): 943-945. DOI: 10.3969/j.issn.2095-5227.2017.10.010
LU Kai, LIU Weili, CUI Fengkui, GUO Wei. Endovascular treatment for infrarenal abdominal aotic aneurysm: A case series[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2017, 38(10): 943-945. DOI: 10.3969/j.issn.2095-5227.2017.10.010
Citation: LU Kai, LIU Weili, CUI Fengkui, GUO Wei. Endovascular treatment for infrarenal abdominal aotic aneurysm: A case series[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2017, 38(10): 943-945. DOI: 10.3969/j.issn.2095-5227.2017.10.010

肾下型腹主动脉瘤腔内治疗70例临床分析

Endovascular treatment for infrarenal abdominal aotic aneurysm: A case series

  • 摘要: 目的 探讨大庆地区肾下型腹主动脉瘤的腔内临床治疗经验与疗效。 方法 回顾性分析2006年1月- 2016年1月大庆油田总医院腔内治疗肾下型腹主动脉瘤70例的临床资料,其中男33例,女37例,平均年龄65岁,瘤体长度平均值为88.2 mm。 结果 腔内修复70例腹主动脉瘤,全部获得成功。术后出现Ⅰ型内漏6例,Ⅱ型内漏2例,Ⅲ型内漏2例。经球囊扩张或接入主体延支后内漏消失。术后出现移植物综合征28例,对症治疗后症状消失。 结论 肾下型腹主动脉瘤腔内治疗术安全有效,其治疗成功的关键在于熟练掌握适应证及操作技巧,正确处理内漏等并发症。

     

    Abstract: Objective To study the clinical effect of endovascular treatment on infrarenal abdominal aortic aneurysm in Daqing area and summarize the clinical experience. Methods Clinical data about 70 patients with infrarenal abdominal aortic aneurysm who were treated with abdominal aortic stent implantation in Daqing Oilfield General Hospital from January 2006 to January 2016 were retrospectively analyzed. Of the 70 cases, there were 33 males and 37 females with average age of 65 years and aneurysm average length of 88.2 mm. Results All cases with abdominal aortic aneurysm had undergone endovascular repair successfully.After operation, 6 cases had typeⅠendoleak, 2 cases with typeⅡendoleak and 2 cases with typeⅢendoleak. All endoleaks disappeared after balloon dilatation or subject extension. Postoperative graft syndrome occurred in 28 patients, and it disappeared after symptomatic treatment. Conclusion Endovascular embolization is a safe and effective treatment for infrarenal abdominal aortic aneurysm. The key to successful treatment is the mastery of indications and operation skills, and the correct treatment of endoleak and other complications.

     

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