摘要
目的 提高腹主动脉瘤手术的安全性。方法 总结1960年1月到2000年3月482例腹主动脉切除人造血管移植及腹主动脉瘤腔内隔绝术的经验。结果 随着腹膜后途径和小切口等的应用，动脉瘤近端血流控制、动脉瘤切除以及缝合修补和腔内隔绝术等方法的更新，使手术的危险性明显降低，总手术死亡率5.2%， 5年存活率达74.4%。结论 手术技术和麻醉监护的进步，使腹主动脉瘤的外科治疗变得更安全、迅速和方便。
Objective To improve the safety of abdominal aortic aneurysm(AAA) surgery. Method The present experience of surgical treatment and endovascular graft exclusion of 482 AAA from Jan. 1, 1960 to March 31, 2000 was reviewed.Result Retroperitoneal approach was for AAA operation. The new methods for controlling of the “neck” of aneurysm, aneurysmectomy and minimal incision were applied. The danger of AAA surgery was obviously decreased. The operative mortality was 5.6% and the five year survival rate 74.4% . Conclusion The improvement of surgical and anesthetic techniques made AAA resection rapid and safe.
出处
《腹部外科》
2001年第2期87-89,共3页
Journal of Abdominal Surgery
关键词
腹主动脉瘤
X线计算机体层摄影术
外科手术
腔内隔绝术
CT
Aneurysm aortic, abdominal
Ultrasonography
Tomography, X ray computed
Angiography
Endovascular graft exclusion
