| 237例肾动脉水平以下腹主动脉瘤手术治疗经验 |
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| 引用本文： | 陈福真,王玉琦,符伟国.237例肾动脉水平以下腹主动脉瘤手术治疗经验[J].中华外科杂志,1998,36(1):15-17. |
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| 作者姓名： | 陈福真 王玉琦 符伟国 |
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| 作者单位： | 上海医科大学附属中山医院血管外科 |
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| 摘 要： | 目的提高腹主动脉瘤手术的安全性。方法总结了自１９６０年１月到１９９６年１２月２３７例肾动脉水平以下腹主动脉瘤切除人造血管移植手术治疗的经验。结果随着腹膜后途径的应用,动脉瘤近端血流控制、动脉瘤切除以及缝合修补等方法的改进,使手术的危险性明显降低,手术时间缩短（２～３ｈ）。随访２２７例,手术死亡率低（３．８％）。５年存活率达７４．４％。结论手术技术和麻醉监护的进步,使腹主动脉瘤修补手术变得更迅速、安全和方便。
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| 关 键 词： | 主动脉瘤.腹 超声检查 体层摄影术.X线计算机 血管造影术 |
Experience in 237 patients undergoing infrarenal abdominal aortic aneurysm operations |
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| .Experience in 237 patients undergoing infrarenal abdominal aortic aneurysm operations[J].Chinese Journal of Surgery,1998,36(1):15-17. |
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| Authors: | |
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| Institution: | Department of Vascular Surgery, Zhongshan Hospital, Shanghai Medical University, Shanghai 200032. |
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| Abstract: | OBJECTIVE: To improve the safety of infrarenal abdominal aortic aneurysm (AAA) repair. METHODS: 237 patients underwent infrarenal abdominal aorta aneurysm operations from January 1, 1960 to December 1996. Retroperitoneal approach was for AAA operation. The new methods for control of the "neck" of aneurysm, aneurysmectomy and "parachute" of proximal aorta anastomosis were applied. RESULTS: The danger of AAA repair obviously decreased and operation time shortened to 2-3 hours. The perioperative mortality was 3.8% and the five-year survival 74.4%. CONCLUSION: The improvement of surgical and anesthetic techniques made AAA resection rapid and safe. |
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| Keywords: | Aneurysm aortic abdominal Ultrasonography Tomography X Ray com puted Angography |
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