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肾动脉水平以下腹主动脉瘤外科治疗的若干问题(附461例报告)
引用本文:陈福真,王玉琦,符伟国,杨珏,蔡铭智,郭平凡,戈小虎. 肾动脉水平以下腹主动脉瘤外科治疗的若干问题(附461例报告)[J]. 外科理论与实践, 2001, 6(5): 279-282. DOI: 10.16139/j.1007-9610.a0590
作者姓名:陈福真  王玉琦  符伟国  杨珏  蔡铭智  郭平凡  戈小虎
作者单位:复旦大学中山医院血管外科,复旦大学中山医院血管外科,复旦大学中山医院血管外科,复旦大学中山医院血管外科,福建漳市医院外科 ,福建医学院附一院外科 ,新疆自治区人民医院普外二科 (200032) ,(200032) ,(200032) ,(200032)
摘    要:提高肾动脉水平以下腹主动脉瘤手术的安全性。方法:总结1960年1月~2001年3月461例腹主动脉瘤切除、人造血管移植及腹主动脉瘤腔内隔绝术的经验。结果:随着腹膜后途径和小切口等技术的应用,动脉瘤近端血流控制、动脉瘤切除以及缝合修补和腔内隔绝术等方法的更新,使手术危险性明显降低,手术死亡率4.8%,5年存活率达74.4%。结论:手术技术和麻醉监护的进步,使腹主动脉瘤的外科治疗变得更安全、迅速和方便。

关 键 词:腹主动脉瘤  X线计算机体层摄影术  血管造影术  腔内隔绝术  
修稿时间:2001-06-29

Some Problems of Surgical Treatment of Infrarenal Abdominal Aortic Aneurysms
Chen Fuzhen,Wang Yuqi,Fu Weiguo,et al.. Some Problems of Surgical Treatment of Infrarenal Abdominal Aortic Aneurysms[J]. Journal of Surgery Concepts & Practice, 2001, 6(5): 279-282. DOI: 10.16139/j.1007-9610.a0590
Authors:Chen Fuzhen  Wang Yuqi  Fu Weiguo  et al.
Abstract:Objective: To help increase the safety of infrarenal abdominal aortic aneurysm(AAA) repair procedure. Methods: The experience of surgical treatment and endovascular graft exclusion technique of 461 AAA patients admitted from January 1960 to March 2001 were reviewed retrospectively. Re-sults: The retroperitoneal approach and small incision of endovascular graft exclusion technique were applied in AAA repair. The new technology for control of the "neck" of aneurysm, aneurysmectomy and minimal incision were applied. The danger of AAA repair was obviously reduced and an operative mortality of 4.8% and a five-year survival rate of 74.4% were obtained. Conclusions: The surgical and anesthetic techniques introduced have made AAA repair a more rapid and safer procedure.
Keywords:Abdominal aortic aneurysm Computerized tomography Angiography Endovascular graft exclusion technique
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