首页 | 本学科首页   官方微博 | 高级检索  
检索        

外伤性降主动脉破裂微创介入治疗
引用本文:龚夏珍,史信宝,邵国丰.外伤性降主动脉破裂微创介入治疗[J].现代实用医学,2009,21(5):425-426.
作者姓名:龚夏珍  史信宝  邵国丰
作者单位:宁波市医疗中心李惠利医院,浙江宁波,315041
基金项目:宁波市重点科研攻关项目 
摘    要:目的探讨外伤性降主动脉破裂假性动脉瘤形成者微创介入治疗方法及适应证。方法2004年4月至2008年2月共收治外伤性降主动脉破裂假性动脉瘤形成者5例,其中车祸伤3例,高处跌伤2例。早期1例通过DSA造影明确诊断,余4例通过胸部增强CT、主动脉三维成像明确诊断。4例通过介入方法,经股动脉置入覆膜支架至主动脉弓降部进行腔内修复破口;1例因介入腔内修复失败转开胸手术。结果5例患者手术均获成功,无截瘫等并发症,痊愈出院。结论急诊胸部增强CT扫描主动脉三维成像检查是主动脉破裂最有效的诊断方法。微创的覆膜支架腔内修复术是外伤性降主动脉破裂假性动脉瘤形成者首选的手术方法,手术创伤小,近期疗效确切;但腔内修复失败者仍需进行传统开胸人工血管替换术。

关 键 词:主动脉疾病  破裂  放射学  介入性

Endovascular graft exclusion in treatment of traumatic descending aortic rupture
GONG Xiazhen,SHI Xinbao,SHAO Guofeng.Endovascular graft exclusion in treatment of traumatic descending aortic rupture[J].Modern Practical Medicine,2009,21(5):425-426.
Authors:GONG Xiazhen  SHI Xinbao  SHAO Guofeng
Institution:Ningbo Medical Center;Li huili Hospital;Ningbo 315040
Abstract:Objective To assess of the results of endovascular graft exclusion (EVGE) with digital subtraction angiography (DSA) in treatment of traumatic descending aortic rupture. Methods From April 2004 to February 2008,5 patients,of which 4 were male and 1 was female with severe traumatic descending aortic rupture underwent EVGE with DSA. Pre-operative examination,CT scan and CTA confirmed the diagnosis of traumatic descending aortic rupture. Implantation of tectorial stent with DSA was used to repair descending ao...
Keywords:Aortic diseases  Rupture  Radiology  interventional  
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号