腹腔干动脉瘤九例的诊断与治疗

目的 探讨腹腔干动脉瘤的诊断与治疗方法。方法 回顾总结9例腹腔干动脉瘤的诊治情况。结果 本组腹腔干动脉瘤9例，位于起始部2例。主干2例，分叉处5例，术前经CTY下实5例，行磁共振造影（MRA）检查证实2例，数字减影动脉造影（DSA）证实5例，均予手术治疗，其中肝动脉重建例，肝动脉及脾动脉结扎、脾切除2例，腹腔干重建4例，本组围手术期无死亡。结论 腹腔干动脉诊断一旦明确，应尽早手术治疗，行腹腔干或肝动脉重建术是最佳的手术方式。

Diagnosis and treatment of celiac artery aneurysm: report of 9 cases

Objective　 To evaluate the method for diagnosis and treatment of celiac artery aneurysm.　 Method　 The clinical data of all 9 cases of celiac artery aneurysm (CAA) was retrospectively reviewed.　Results Diagnosis was made by spiral CT in 5 cases, magnetic resonance angiography (MRA) in 2, and digital substraction angiography (DSA) in 5. All patients underwent operation with hepatic reconstruction in 3, hepatic and splenic artery ligation plus splenectomy in 2 cases, and reconstruction of the celiac axis in 4. There was no perioperative mortality.　 Conclusions　 Patients with celiac aneurysm should undergo surgical procedure once the diagnosis was confirmed. Hepatic and celiac revascularizaton is advocated.