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腔内修复术治疗腹主动脉瘤
引用本文:周为民,高涌,符伟国.腔内修复术治疗腹主动脉瘤[J].蚌埠医学院学报,2005,30(1):22-24.
作者姓名:周为民  高涌  符伟国
作者单位:1. 蚌埠医学院附属医院,血管外科,安徽,蚌埠,233004
2. 复旦大学医学院附属中山医院,血管外科,上海,200032
摘    要:目的:观察腔内修复术治疗腹主动脉瘤的早期临床疗效,并结合文献探讨其治疗方法、手术指征和并发症.方法:1例高龄、多合并症的腹主动脉瘤患者在气管插管静脉复合麻醉和数字减影血管造影(DSA)的监控下,植入人造血管内支架,对腹主动脉瘤进行腔内修复术.结果:术后复查CT显示人造血管内支架通畅,无移位、扭曲,人造血管内支架外壁与瘤腔间充满血栓,无内漏.腹部搏动性肿块消失.结论:腔内修复术治疗腹主动脉瘤是一种创伤小、安全有效和恢复快的新方法,但应根据患者的具体情况而慎重使用.

关 键 词:主动脉瘤  人工血管  支架  放射学  介入性  腔内修复术  术治疗  腹主动脉瘤  abdominal  aortic  aneurysm  使用  情况  恢复  安全  创伤小  肿块  腹部  内漏  血栓  外壁  无移位  显示  术后复查  结果  血管内支架  监控
文章编号:1000-2200(2005)01-0022-03
修稿时间:2004年10月27日

Endovascular repair of abdominal aortic aneurysm
ZHOU Wei-min ,GAO Yong ,FU Wei-guo.Endovascular repair of abdominal aortic aneurysm[J].Journal of Bengbu Medical College,2005,30(1):22-24.
Authors:ZHOU Wei-min  GAO Yong  FU Wei-guo
Institution:ZHOU Wei-min 1,GAO Yong 1,FU Wei-guo 2
Abstract:Objective:To evaluate the preliminary clinical result of endovascular repair of abdominal aortic aneurysm(AAA) and to explore its procedure,indication and complications.Methods:One elderly patient complicated with many other diseases was performed endovascular repair under general anesthesia and dynamic monitor of digital subtraction angiography.Results:Computer tomography showed that the stent-graft was patent.No migration,torsion or endoleak was found.The primary AAA sac was full of thrombi.The abdominal pulsatile mass disappeared.Conclusions:Endovascular repair for treatment of AAA is a new procedure.It is safe and effective with the advantages of minor injury,and quick recovery.It should be applied according to the patient's condition.
Keywords:aortic aneurysm  abdominal  blood vascular prosthesis  stent  radiology  interventional
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