摘要
目的:总结肾下型腹主动脉瘤(abdominal aortic aneurysms,AAA)外科治疗经验。方法:对25例肾下型腹主动脉瘤分别行传统外科手术19例,腔内修复术4例,非手术治疗2例。结果:23例施行手术,死亡2例,均为AAA破裂急诊手术者,其中1例术后死于多器官功能障碍综合征,1例术后死于呼吸道感染、急性呼吸窘迫综合征。另2例AAA破裂患者因病情危重未治病死。围手术期死亡率为8.7%,其中择期手术为0,急诊手术为50%。随访18例,随访时间3个月至6年,无动脉瘤复发,无吻合口假性动脉瘤,无吻合口破裂出血,手术后人工血管通畅。腔内修复术患者支架无移位,通畅,无肠缺血、无内漏发生。结论:手术切除腹主动脉瘤疗效是满意、安全的。腔内治疗特别适用于高危患者。
Objective：To summarize surgical experience on undergoing open repair or endovascular treatment of infrarenal abdominal aortic aneurysm（AAA）. Methods： Consecutive 25 patients with infrarenal AAA who were treated by traditional open operation（ 19 cases） ,endovascular treatment （4 cases） and non-surgical treatment （2 cases） were retrospectively reviewed. Results： Twenty-three patients were performed by operation, but 2 cases which were rupture AAA were died perioperatively due to multiple organ dysfunction syndrome（MODS） ,pulmonary infection and acute respiratory distress syndrome（ ARDS）, respectively. The other 2 rupture AAA cases whose situations were serious were died without further treatment. The perioperatively mortality was 8. 7%. Eighteen cases were followed-up from 3 months to 6 years, the mean duration was 3.6 years. No aneurysm recurred,no pseudo-aneurysm and no rupture bleed. The grafts were patent. Cases which underwent endovascular treatment were no stent migration,no intestine ischemic,no endoleak and the stentgrafts were patent. Conclusions：The efficacy of open operation of AAA is satisfactory and safe. Endovascular treatment is specially suit for high severe AAA patients.
出处
《蚌埠医学院学报》
CAS
2006年第6期598-600,共3页
Journal of Bengbu Medical College
