摘要
目的 探讨老年高危腹主动脉瘤患者的微创治疗方法。 方法 18例应用腔内搭桥技术治疗的老年腹主动脉瘤患者 ,动脉瘤分型 :A型 1例 ,B型 11例 ,C型 6例。术前以CT、MR及血管造影检查评估腔内治疗的可行性并测量相关数据 ;设计并选择合理带膜支架 ;取双侧腹股沟小切口 ,在X线透视下将支架通过股动脉放置在腹主动脉瘤的恰当位置上 ,实现动脉瘤腔内搭桥。 结果 18例接受腹主动脉瘤腔内搭桥患者成功率 10 0 %。手术时间 1～ 6h ,平均 (3 40± 0 34 )h。出血量5 0～ 6 2 0ml,平均 (35 0± 10 4)ml。并发症 :内漏血 2例 ,截瘫 1例 ,腹股沟血肿 1例。 结论 动脉瘤腔内搭桥是一种新的微创治疗方法 ,具有创伤小、恢复快、技术操作可行、近期效果肯定的优点 ,尤其适合全身状况不能耐受传统手术的老年患者。但该技术远期疗效有待进一步观察。
Objective To study the mini traumatic treatment of high risk abdominal aortic aneurysm(AAA) in the aged people. Methods 18 AAA with other system diseases in the aged people were treated by endovascular stent graft bypass. AAA class included 1 case of type A, 11 cases of type B and 6 cases of type C. All of the patients were evaluated for the endoluminal treatment feasibility by CTA/MRA or DSA and the related data for positions was measured for selecting proper stent grafts. Through bilateral femoral artery mini incision, straight or bifurcated stent grafts were deployed at the proper position of infrarenal AAA sac under X ray fluoroscopy. Results All of the AAA were excluded from blood circulation with 100 percent technically successful rate. The operational time period were 1～6 h 〔average (3 4±0 34) h〕 with blood loss of 50～620 ml 〔average (350±104) ml〕. The complications included endoleak in 2 cases, paraplegia in 1 case and groin hematoma in 1 case. Conclusions The aneurysm endoluminal bypass is a sort of new micro traumatic vascular technique with rapid healing, feasible technical procedure and affirmative short time effect. In addition it suited for old high risk AAA with other organic dysfunction. But long time results need further observation.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2000年第5期342-344,共3页
Chinese Journal of Geriatrics
基金
全军九五攻关重点课题经费资助!( 97Z0 60 )
关键词
腹主动脉瘤
微创血管腔内技术
治疗
老年人
Aortic aneurysm, abdominal
Angioplasty
Surgical procedures,minimally invasive
