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腹主动脉瘤的外科治疗:附46例报告
引用本文:李介秋,夏洪志,陈学明,李汉军,谢小丰,刘飞,葛健君,彭浩,孔屏.腹主动脉瘤的外科治疗:附46例报告[J].中国普通外科杂志,2007,16(6):2-525.
作者姓名:李介秋  夏洪志  陈学明  李汉军  谢小丰  刘飞  葛健君  彭浩  孔屏
作者单位:1. 解放军第一六三中心医院,普通外科,湖南,长沙,410003
2. 首都医科大学北京友谊医院,血管外科,北京,100981
摘    要:目的:探讨并提高腹主动脉瘤(AAA)手术安全的方法。方法:笔者两所医院近3年余收治的46例腹主动脉瘤患者均行腹主动脉瘤切除人工血管移植。病变仅累及腹主动脉20例,累及腹主动脉及一侧髂总、内、外动脉瘤8例,累及两侧髂总、内、外动脉瘤16例,累及肾动脉者2例。3例施行急诊手术。结果:例死亡(病死率2.2%),余45例均治愈,无手术并发症。结论:外科治疗是治疗AAA最可靠的方法。

关 键 词:主动脉瘤  腹/外科学  人工血管
文章编号:1005-6947(2007)06-0523-03
收稿时间:2007-03-05
修稿时间:2007-03-052007-03-19

Surgical treatment for abdominal aortic aneurysm in 46 cases
LI Jie-qiu,XIA Hong-zhi,CHEN Xue-ming,LI Han-jun,XIE Xiao-feng,LIU Fei,GE Jian-jun,PENG Hao,KONG Ping.Surgical treatment for abdominal aortic aneurysm in 46 cases[J].Chinese Journal of General Surgery,2007,16(6):2-525.
Authors:LI Jie-qiu  XIA Hong-zhi  CHEN Xue-ming  LI Han-jun  XIE Xiao-feng  LIU Fei  GE Jian-jun  PENG Hao  KONG Ping
Institution:1, Department of General Surgery, The 163rd PIA Hospital, Changsha 410003, China; 2, Department of Vascular Surgery, Beijin Friendship Hospital, the Capital University of Medical Science, Berlin 100981, China
Abstract:Objective To study how to improve the safety of the operation for abdominal aortic aneurysm(AAA).Methods Forty-six cases of AAA received resection of AAA plus artificial blood vessel transplantation in recent three and a half years in our 2 hospitals.The lesions involved only the abdominal aorta in 20 cases,and extended to unilateral common iliac and internal and external iliac arteries in 8 cases,to bilateral common iliac and external and internal iliac arteries in 16 cases,and involved the renal artery in 2 cases.Emergency operation was done in 3 cases.Results In these 46 cases,45 were cured and 1 died,and no operative complications occurred.Conclusions Surgical operation is the best way to treatment AAA.
Keywords:Aortic Aneurysm  Abdominal/surg  Blood Vessel Prosthesis
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