摘要
目的提高腹主动脉瘤手术的安全性。方法总结了自１９６０年１月到１９９６年１２月２３７例肾动脉水平以下腹主动脉瘤切除人造血管移植手术治疗的经验。结果随着腹膜后途径的应用，动脉瘤近端血流控制、动脉瘤切除以及缝合修补等方法的改进，使手术的危险性明显降低，手术时间缩短（２～３ｈ）。随访２２７例，手术死亡率低（３．８％）。５年存活率达７４．４％。结论手术技术和麻醉监护的进步，使腹主动脉瘤修补手术变得更迅速、安全和方便。
Objective To improve the safety of infrarenal abdominal aortic aneurysm (AAA) repair.Methods 237 patients underwent infrarenal abdominal aorta aneurysm operations from January 1, 1960 to December 1996.Retroperitoneal approch was for AAA operation. The new methods for control of the “neck” of aneurysm,aneurysmectomy and “parachute” of proximal aorta anastomosis were applied.Results The danger of AAA repair obviously decreased and operation time shortened to 2￣3 hours.The perioperative mortality was 3 8% and the five year survival 74 4%.Conclusion The improvement of surgical and anesthetic techniques made AAA resection rapid and safe.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1998年第1期15-17,共3页
Chinese Journal of Surgery
关键词
动脉瘤
腹主动脉瘤
腹部
外科手术
Aneurysm aortic,abdominal Ultrasonography Tomography,X Ray com puted Angography
