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腹主动脉瘤的外科治疗
引用本文:郭平凡,CHEN Fuzhen,陈福真,王玉琦,符伟国,杨珏,蔡铭智.腹主动脉瘤的外科治疗[J].腹部外科,2001,14(2):87-89.
作者姓名:郭平凡  CHEN Fuzhen  陈福真  王玉琦  符伟国  杨珏  蔡铭智
作者单位:1. 福建医科大学附属第一医院外科
2. Department of Vascular Surgery, Zhongshan Hospital, Fudan University Medical College,
3. 复旦大学医学院附属中山医院血管外科
4. 福建省漳州市医院外科
摘    要:目的 提高腹主动脉瘤手术的安全性。方法 总结 196 0年 1月到 2 0 0 0年 3月 482例腹主动脉切除人造血管移植及腹主动脉瘤腔内隔绝术的经验。结果 随着腹膜后途径和小切口等的应用 ,动脉瘤近端血流控制、动脉瘤切除以及缝合修补和腔内隔绝术等方法的更新 ,使手术的危险性明显降低 ,总手术死亡率 5 .2 % ,5年存活率达 74.4%。结论 手术技术和麻醉监护的进步 ,使腹主动脉瘤的外科治疗变得更安全、迅速和方便

关 键 词:主动脉瘤    体层摄影术  X线计算机  外科  手术  腔内隔绝术
修稿时间:2000年11月10

Surgecial treatment of 482 cases of abdominal aortic aneurysms
GUO Pingfan,CHEN Fuzhen,WANG Yuqi,et al..Surgecial treatment of 482 cases of abdominal aortic aneurysms[J].Journal of Abdominal Surgery,2001,14(2):87-89.
Authors:GUO Pingfan  CHEN Fuzhen  WANG Yuqi  
Institution:GUO Pingfan,CHEN Fuzhen,WANG Yuqi,et al. Department of Vascular Surgery,Zhongshan Hospital,Fudan University Medical College,Shanghai 200032,China
Abstract:Objective To improve the safety of abdominal aortic aneurysm(AAA) surgery. Method The present experience of surgical treatment and endovascular graft exclusion of 482 AAA from Jan. 1, 1960 to March 31, 2000 was reviewed.Result Retroperitoneal approach was for AAA operation. The new methods for controlling of the "neck" of aneurysm, aneurysmectomy and minimal incision were applied. The danger of AAA surgery was obviously decreased. The operative mortality was 5.6% and the five-year survival rate 74.4%. Conclusion The improvement of surgical and anesthetic techniques made AAA resection rapid and safe.
Keywords:Aneurysm aortic  abdominal  Ultrasonography  Tomography  X  ray computed  Angiography  Endovascular graft exclusion
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