摘要
目的 :观察腔内修复术治疗腹主动脉瘤的早期临床疗效 ,并结合文献探讨其治疗方法、手术指征和并发症。方法 :1例高龄、多合并症的腹主动脉瘤患者在气管插管静脉复合麻醉和数字减影血管造影 (DSA)的监控下 ,植入人造血管内支架 ,对腹主动脉瘤进行腔内修复术。结果 :术后复查CT显示人造血管内支架通畅 ,无移位、扭曲 ,人造血管内支架外壁与瘤腔间充满血栓 ,无内漏。腹部搏动性肿块消失。结论 :腔内修复术治疗腹主动脉瘤是一种创伤小、安全有效和恢复快的新方法 ,但应根据患者的具体情况而慎重使用。
Objective:To evaluate the preliminary clinical result of endovascular repair of abdominal aortic aneurysm(AAA) and to explore its procedure,indication and complications.Methods:One elderly patient complicated with many other diseases was performed endovascular repair under general anesthesia and dynamic monitor of digital subtraction angiography.Results:Computer tomography showed that the stent-graft was patent.No migration,torsion or endoleak was found.The primary AAA sac was full of thrombi.The abdominal pulsatile mass disappeared.Conclusions:Endovascular repair for treatment of AAA is a new procedure.It is safe and effective with the advantages of minor injury,and quick recovery.It should be applied according to the patient's condition.
出处
《蚌埠医学院学报》
CAS
2005年第1期22-24,共3页
Journal of Bengbu Medical College
关键词
主动脉瘤
人工血管
支架
放射学
介入性
aortic aneurysm,abdominal
blood vascular prosthesis
stent
radiology,interventional
