178例肾动脉水平以下腹主动脉瘤手术治疗经验

自1960年1月到1994年12月间我院施行肾动脉水平以下腹主动脉瘤切除人造血管移植术178例.其中男147例,女31例,年龄15～82岁,平均65.5岁,合并高血压者118例(66%),冠心病40例(23.0%)、糖尿病17例(9.5%).B型超声和CT有助于腹主动脉瘤的诊断.若B超与CT不能确定动脉瘤上界与肾动脉间的距离,主动脉造影或数字减影血管造影术(digital substractionangiograpby,DSA)极有帮助.手术操作术的改进使腹主动脉瘤修补术变得更为迅速、安全和方便.

Experience in 178 Cases of Infrarenal Abdominal Aneurysm

One of the most common and dangerous- aneurysms is the abdominal aortic aneurysm. Between 1 January 1960 and 31 December 1994, 178 cases of abdominal aortic aneurysms were resected. There were 147 men and 31 women of 15-80 years old, mean 65.5 years. Concomitant health conditions were: 118 patients with hypertension (66.3%), 40(23%) with coronary artery disease and 17(9.9%) with diabetes. The key diagnostic point was to define the distance between renal artery ahd aneurysm. If this was not delineated by ultrasonography and CT, arteriography would provide valuable information. Improved operative techniques have made abdominal aortic aneurysm resection more rapid and safer.