| 腹主动脉瘤外科治疗体会 |
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| 作者姓名： | 李留峥 |
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| 作者单位： | (临沧市人民医院肝胆外科,云南 临沧 677000) |
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| 基金项目： | ［基金项目］云南省中青年学科带头人后备人才培养基金资助项目（2006PY01-63） |
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| 摘 要： | ［摘要］目的 总结腹主动脉瘤的外科治疗方法和经验．方法 回顾性分析临沧市人民医院2010年8月至2014年12月间，行外科治疗的12例腹主动脉瘤患者的临床资料．所有患者均行B超、CT、MRI和DSA检查明确诊断，制定外科治疗方案．8例开放手术切除、人工血管移植，4例腔内修复术．结果 均顺利完成手术，无围手术期死亡，出现Ⅱ型内漏1例，肺部感染1例．结论 重视围手术期治疗，严格选择适应症和治疗方式，可安全完成腹主动脉瘤的外科治疗．
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| 关 键 词： | [关键词]腹主动脉瘤 血管 外科 |
The Experience of Surgical Treatment of Abdominal Aortic Aneurysm |
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| Affiliation: | (People’s Hospital of Lincang,Yunnan Province 677000,China) |
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| Abstract: | ［Abstract］Objective To summarize the methods and experience of surgical treatment of abdominal aortic aneurysm. Methods The clinical data of 12 patients with abdominal aortic aneurysm treated in our hospital from August 2010 to December 2014 were analyzed retrospectively. All patients were diagnosed by B ultrasound， CT， MRI and DSA，and the surgical treatment plan was established. Open surgical resection and artificial vascular graft were performed in 8 cases and endovascular repairing other 4 cases. Results All the operations were performed successfully with no perioperative mortality. One case of type II internal leakage and 1 case of pulmonary infection were observed. Conclusions The importance attached to perioperative treatment and strict selection of indications and treatment can increase the safety of the surgical performance of abdominal aortic aneurysm. |
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