| 复杂性动脉瘤的外科治疗 |
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| 引用本文： | Song QB,Duan ZQ,Zhang J,Zhang ZS,Xin SJ. 复杂性动脉瘤的外科治疗[J]. 中华医学杂志, 2004, 84(17): 1429-1431 |
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| 作者姓名： | Song QB Duan ZQ Zhang J Zhang ZS Xin SJ |
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| 作者单位： | 110001,沈阳,中国医科大学附属第一医院普外三科 |
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| 摘 要： | 目的总结各类复杂性动脉瘤的外科治疗对策及疗效。方法回顾性分析中国医科大学附属第一医院15年收治的24例复杂性动脉瘤的临床资料及随访资料。结果24例患者均采用外科手术治疗,其中22例患者采用动脉瘤切除、人工血管架桥手术。所有患者均得到随访,围手术期病死率8．39％。结论针对不同类型的复杂性动脉瘤,进行充分的术前评估,采用不同的切口,选择正确的术式,是提高疗效的关键。
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| 关 键 词： | 复杂性动脉瘤 外科治疗 肿瘤 手术方法 外科手术 |
Strategy for the treatment of intractable aneurysms |
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| Song Qing-Bin,Duan Zhi-Quan,Zhang Jian,Zhang Zan-Song,Xin Shi-Jie. Strategy for the treatment of intractable aneurysms[J]. Zhonghua yi xue za zhi, 2004, 84(17): 1429-1431 |
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| Authors: | Song Qing-Bin Duan Zhi-Quan Zhang Jian Zhang Zan-Song Xin Shi-Jie |
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| Affiliation: | The First Affiliated Hospital, China Medical University, Shenyang 110001, China. |
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| Abstract: | OBJECTIVE: To summarize the treatment of various intractable aneurysms and analyze the results. METHODS: A retro-respective review was made to the clinical data of 24 patients, 20 males and 4 females, aged 15 approximately 71 with an average age of 45.8, with intractable aneurysms, caused by arteriosclerosis in 13 cases, by trauma in 8 cases, and by vascular deformity. RESULTS: The 24 patients were diagnosed as intractable aneurysms by color Doppler ultrasonic examination or digital subtraction angiography. They all underwent different operations with a general mortality of 8.39%. CONCLUSION: Enough preoperative evaluation based on the size, location, relation with nearby organs and systematic complications. for different intractable aneurysm is necessary. Incision design and operation method are important for the treatment. |
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| Keywords: | Aneurysm Surgical procedures operative |
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