腹部脏器动脉瘤的介入治疗

目的 探讨不同形态的腹部脏器动脉瘤使用金属钢圈进行栓塞治疗的方法。方法 对19例20个动脉瘤行介入治疗。6个球形动脉瘤用金属钢圈进行瘤体本身栓塞，使相应脏器或其局部血供中断。6个憩室样动脉瘤只栓塞瘤体，脏器供血保持通畅。部分假性动脉瘤采用瘤体供血动脉的入端、出端分别栓塞的方法，防止侧支动脉参与供血。结果 19例动脉瘤栓塞均获成功，8例假性动脉瘤中7例止血成功。采用瘤体栓塞或瘤体供血动脉的入端、出端同时栓塞的方法止血成功率高。结论 金属钢圈栓塞动脉瘤是一种止血见效快、疗效可靠、操作简便的介入治疗方法。

Interventional treatment of abdominal visceral aneurysms

Objective To study different e mbolization methods in various aneurys ms with metallic coils. Methods In 6 spherical aneurysms, the e mbolization was p erformed with coils in their bodies, discontinuing the total or part of the bloo d supply to the corresponding viscera. While in 6 diverticulum aneurysms, the em bolization with coils was conducted in their bodies only, maintaining the blood supply of the corresponding viscera. For some pseudoaneurysms, both afferent and efferent arteries were embolized and collateral arterial supplies were prevente d. Results All 19 cases 20 aneurysms, of aneurysms were success fully embolized. Among 8 cases of pseudoaneurysms, bleeding had been stopped in 7 cases. Putting coils in the b odies of aneurysms or embolizing both afferent and efferent arteries improved su ccessful rate. Conclusion Embolizing aneurysms with metallic co ils is an efficient, reliable, and simple interventional method for stopping bleeding.