摘要
目的总结减速伤所致主动脉假性动脉瘤的诊治经验。方法回顾性分析 8例本病的临床症状、影像学表现及传统经胸手术和血管腔内带膜支架植入术的疗效。结果 8例均经影像学检查确诊。未经手术 2例中 1例死亡 ,1例失访 ,传统经胸手术 2例和血管腔内带膜支架植入 4例手术均获成功 ,术后恢复良好。结论治疗减速伤患者时要警惕并发假性动脉瘤 ,影像学检查可明确诊断。传统经胸手术的疗效明确 ,而血管腔内带膜支架植入创伤口、疗效好、并发症少。
Objective To summarize our preliminary experience on diagnosis and treatment of aorta pseudoaneurysms due to deceleration injury. Methods Retrospective analysis was made on 8 cases of aorta pseudoaneurysms due to deceleration injury regarding its clinical findings, imagines and surgical operations or endografting treatment. Results Diagnosis was confirmed by imaging examinations. Among two cases who refused a surgery one died and the other lost follow-up after discharge. Surgery was successful in the remaining six cases including two cases treated by open surgery and four cases by intervensive endografting. Conclusions Aorta pseudoaneurysms due to deceleration injury can be correctly diagnosed by imaging examinations. Aorta pseudoaneurysms should be treated timely since spontaneous cure is almost impossible. Traditional surgical operations is effective, however, endografting is a relatively safe, less traumatic procedure.
出处
《中华普通外科杂志》
CSCD
北大核心
2003年第12期719-720,共2页
Chinese Journal of General Surgery
