摘要
目的 总结累及髂动脉分叉的ⅡC型腹主动脉瘤 (AAA)的处理方法。方法 自 1997年 3月至 2 0 0 2年 10月共对 4 2例ⅡC型AAA实施了腔内隔绝术 ,其中包括单侧髂动脉分叉受累者 19例 ,双侧髂动脉分叉受累者 2 3例。针对髂总动脉不同的病变情况 ,采取了保留健侧髂内动脉、一侧髂内动脉重建、髂总动脉外绑扎等不同的处理方法。结果 即时操作成功 4 1例 (97.6 % ) ,手术结束时无Ⅰ型内漏存在。术后出现臀、股部疼痛 3例 (7.5 % ) ,便血 2例 (5 .0 % ) ,未发生臀、股部和结、直肠坏死。结论 通过对髂内动脉作不同的处理 ,应用腔内隔绝术治疗ⅡC型AAA完全可以取得满意疗效。术中应尽可能保留一侧髂内动脉 。
Objective To summarize our experiences of management for hypogastric artery in endovascular exclusion (EVE) for type ⅡC abdominal aortic aneurysm (AAA). Methods From March,1997 to October,2002, endovascular exclusions were performed on 42 cases of type ⅡC AAAs. Among them, the unilateral iliac bifurcations of 23 cases and the bilateral iliac bifurcations of 19 cases were involved. Various techniques, including the preservation of contralateral hypogastric artery, reconstruction of unilateral hypogastric artery and extra artery ligation, were applied according to the different conditions of common iliac artery involved. Results The procedures were technically successful in 41 patients(97.6%) without presence of obvious typeⅠendoleak. Buttock pain occurred in 3 cases (7.5%), and bloody faeces in 2 cases (5.0%),but without buttock and colorectal necrosis. Conclusions EVE is an effective method for type ⅡC AAA. It is important to preserve the unilateral hypogastric artery, and avoid to occlude the bilateral hypogastric artery as well as possible.
出处
《介入放射学杂志》
CSCD
2003年第1期14-17,共4页
Journal of Interventional Radiology
基金
军队杰出人才基金 (编号 98J0 0 5 )
上海市卫生系统百人计划基金 (编号 97BR0 47)
长海医院学科攀登计划基金资助课题
关键词
腹主动脉瘤
腔内隔绝术
髂内动脉
Abdominal aortic aneurysm
Endovascular exclusion
Hypogastric artery
