腔内隔绝术在主动脉瘤外科治疗中的应用.pdfVIP

解剖与临床 　2006 年第 11 卷第 1 期 　Anatomy and Clinics Vol . 11 No . 1 33 腔内隔绝术在主动脉瘤外科治疗中的应用 1 1 2 1 1 1 周为民 　高涌 　符伟国 　余朝文 　聂中林 　孟庆友 1 1 3 4 4 4 4 卢冉 　孙勇 　包宗明 　周伟 　高杰 　朱光辉 　李国平 【摘要】　目的:探讨腔内隔绝术治疗主动脉夹层动脉瘤 、腹主动脉瘤的操作方法及近期疗效 。方法 :采用腔内隔绝 术治疗主动脉夹层动脉瘤 3 例 、腹主动脉瘤 2 例 。结果 :5 例主动脉瘤腔内隔绝术均获得成功 ,术后 3 例主动脉夹 层动脉瘤的假腔立刻消失 ,2 例腹主动脉瘤瘤体成功隔绝 。无支架移位 ;术中发生内漏 1 例 ,经及时处理后消失 ;2 例术后出现移植后综合征 ,经对症处理后缓解 。随访 3～21 个月 ,无移植物移位及器官缺血 ,假腔内见血栓形成 。 结论 :腔内隔绝术治疗主动脉瘤创伤小 、安全 、恢复快 ,有着较好的近期效果 。 【关键词】　主动脉瘤 ;支架 ;人工血管 ;腔内隔绝术 + ( ) 【中图分类号】　R543 . 1 6 　R654 . 3 　　【文献标识码】　A 　　【文章编号】　1671 - 7163 2006 01 - 0033 - 03 Application of Endovascular graft exclusion in surgical treatment of aortic aneurysm Zhou Weimin , Gao Yong , Fu Weiguo , et al . (Department of Vascular Surgery , Affiliated Hospital of Bengbu Medical College ,Bengbu Anhui 233004) 【Abstracts】　Objective :To explore the operating methods and short - term efficacy of endovascular graft exclusion for treatment of thoracic and or abdominal aortic aneurysm. Methods :3 patients with thoracic aortic dissecting aneurysm and 2 cases of abdom inal aortic aneurysm were treated by endovascular graft exclusion . Results :All the operations were successfully performed. The p seudo - cavity in the 3 cases of thoracic aortic dissection aneurysm disappeared after the operation ,and the 2 cases of abdominal aortic aneurysms were successfully isolated. No stents migration . Intraoperative endoleak was occurred in one case ,and immediately disappeared by balloon dilata