摘要
目的 总结各类复杂性动脉瘤的外科治疗对策及疗效。方法 回顾性分析中国医科大学附属第一医院 15年收治的 2 4例复杂性动脉瘤的临床资料及随访资料。结果 2 4例患者均采用外科手术治疗 ,其中 2 2例患者采用动脉瘤切除、人工血管架桥手术。所有患者均得到随访 ,围手术期病死率 8 39%。结论 针对不同类型的复杂性动脉瘤 ,进行充分的术前评估 ,采用不同的切口 ,选择正确的术式 ,是提高疗效的关键。
Objective To summarize the treatment of various intractable aneurysms and analyze the results. Methods A retro-respective review was made to the clinical data of 24 patients, 20 males and 4 females, aged 15～71 with an average age of 45.8, with intractable aneurysms, caused by arteriosclerosis in 13 cases, by trauma in 8 cases, and by vascular deformity. Results The 24 patients were diagnosed as intractable aneurysms by color Doppler ultrasonic examination or digital subtraction angiography. They all underwent different operations with a general mortality of 8.39%. Conclusion Enough preoperative evaluation based on the size, location, relation with nearby organs and systematic complications. for different intractable aneurysm is necessary. Incision design and operation method are important for the treatment.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2004年第17期1429-1431,共3页
National Medical Journal of China
