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慢性系膜动脉缺血的腔内治疗:我们理解了多少
引用本文:郭伟.慢性系膜动脉缺血的腔内治疗:我们理解了多少[J].介入放射学杂志,2010,19(9).
作者姓名:郭伟
作者单位:解放军总医院血管外科,北京,100853
摘    要:收集并总结慢性系膜动脉缺血腔内治疗的临床资料.以"系膜动脉缺血"、"球囊血管成形"、"系膜动脉支架"和"肠坏死"为主题词经Medline搜索相关文献,对腔内治疗大于5例的文献进行分析.分析16个系列研究共328例患者.所有治疗指征都是症状型系膜动脉狭窄.治疗成功率91%.75%患者症状消失且不需要再次干预治疗.28%患者随访中发现再狭窄.9%出现了并发症,包括夹层、远端栓塞、中转为传统手术、感染及穿刺点部位血栓和出血等.30 d病死率3%.腔内治疗系膜动脉狭窄或闭塞安全、有效,支架植入有更高的技术成功率.但即使是腔内治疗非常成功,依然有三分之一的患者可能出现再狭窄.

关 键 词:系膜动脉缺血  球囊扩张血管成型  系膜动脉支架  肠坏死

The endovascular therapy of chronic mesenteric ischemia:how much hawe we known so far
GUO Wei.The endovascular therapy of chronic mesenteric ischemia:how much hawe we known so far[J].Journal of Interventional Radiology,2010,19(9).
Authors:GUO Wei
Institution:GUO Wei.Department of Vascular Surgery,General Hospital of PLA,Beijing 100853,China
Abstract:The purpose of this paper is to collect and summarize the clinical evidence related to the endovascular therapy of chronic mesenteric ischemia.The relevant medical literature in English language were collected through Medline by inputting the subject headings,including mesenteric ischemia,balloon angioplasty,mesenteric stenting and intestinal angina.The medical documents which reported five or more cases receiving endovascular therapy were enrolled in our study for analysis.A total of 16 series with 328 cas...
Keywords:mesenteric ischemia  balloon angioplasty  mesenteric stenting  intestinal necrosis  
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