摘要
目的探讨腹主动脉覆膜支架植入术治疗肾下型腹主动脉瘤的手术经验及临床疗效。方法回顾性分析2009年5月至2012年4月我院心胸血管外科采用腹主动脉覆膜支架植入术治疗肾下型腹主动脉瘤18例临床资料。结果 18例腹主动脉瘤腔内修复均获得成功,共植入带膜支架38枚。术后当时出现内漏10例,其中Ⅰ型内漏6例(近端2例,1例经球囊扩张后内漏消失,1例接主体延支后内漏消失;远端4例,2例球囊扩张后内漏消失,2例接延长髂腿后消失),Ⅱ型内漏2例,未予处理;Ⅲ型内漏2例,经球囊扩张后内漏消失。结论肾下型腹主动脉瘤覆膜植入术是安全有效的方法,内漏是其主要并发症,其治疗成功的关键在于掌握适应证及操作技巧、正确处理并发症以及伴随疾病的治疗。肾下型腹主动脉瘤应用覆膜支架植入术治疗,对符合适应证的患者具有明显的优势。
Objective Discuss the operation experience and clinical efficacy effect of abdominal aorta tectorial stent implantation for the treatment of infrarenal abdominal aortic aneurysm. Methods A retrospective analysis of the 18 cases clinical data of abdominal aorta tectorial stent implantation for the treatment of infrarenal abdominal aortic aneurysm during 2009 May to 2012 April in our hospital eardiothoracic surgery. Results 18 cases of endovascular repair the abdominal aortic aneurysms were all successfully,total implanted 38 trunks（ including 1 linear tubular type, 17 bifid type, 1 main extension branch, 19 iliac extension branch）. Postoperative, we found 10 cases of endoleak immediately, including 6 cases of type-I（2 proximal cases, 1 endoleak disappearing after treated with balloon dilatation, 1 endoleak disappearing after received main extension branch~ 4 distal cases, 2 endoleak disappearing after treated with balloon dilatation, 2 endoleak disappearing after received lilac extension branch）, 2 cases of type-I] ,untreated^2 cases of type-lll ,disappearing after treated with balloon dilatation. Conclusion The treatment of infrarenal abdominal aortic aneurysm by teetorial stent implantation was a safe and effective method, the endoleak was the main complication. The key to the successful treatment inclunding： Master indication, operation skill, proper treatment of complication and concomitant. Application the tectorial stent implantation to treat the infrarenal abdominal aortic aneurysms patients with indication had obvious advantages.
出处
《中国冶金工业医学杂志》
2013年第4期377-379,共3页
Chinese Medical Journal of Metallurgical industry
关键词
肾下型腹主动脉瘤
腔内治疗
Infrarenal abdominal aortic aneurysm^Endovascular treatment
