CAJ | 학술논문

回顾性分析1997-01/2007-06收治孤立性骼动脉瘤患者共33例,男19例,女14例,其中单侧髂动脉瘤29例,双侧4例.均在全身麻醉下行动脉瘤切除、人工血管移植血管重建.结果显示4例双侧病变中,主动脉-双侧股动脉人工血管移植1例,丰动脉-双侧髂总动脉人工血管移植3例:29例单侧病变中,主一髂总动脉人工血管移植1例,骼-股动脉人工血管移植3例,髂总-髂外动脉人工血管移植21例,髂总-髂外动脉转流4例.移植后3,6个月,1,3,5,8,10年行彩色多普勒和螺旋CT血管造影检查或DSA检查,平均随访5年.2例分别于移植后3年和6年死于急性脑梗死和心肌梗死,1例移植后2年死于交通事故,余健康存活,无复发,无吻合口狭窄或下肢缺血表现.提示动脉瘤切除人工血管移植是治疗孤立性髂动脉瘤的良好措施,仍然是目前医疗条件下有效治疗孤立性髂动脉瘤的主要手术方式.
회고성분석1997-01/2007-06수치고립성격동맥류환자공33례,남19례,녀14례,기중단측가동맥류29례,쌍측4례.균재전신마취하행동맥류절제、인공혈관이식혈관중건.결과현시4례쌍측병변중,주동맥-쌍측고동맥인공혈관이식1례,봉동맥-쌍측가총동맥인공혈관이식3례:29례단측병변중,주일가총동맥인공혈관이식1례,격-고동맥인공혈관이식3례,가총-가외동맥인공혈관이식21례,가총-가외동맥전류4례.이식후3,6개월,1,3,5,8,10년행채색다보륵화라선CT혈관조영검사혹DSA검사,평균수방5년.2례분별우이식후3년화6년사우급성뇌경사화심기경사,1례이식후2년사우교통사고,여건강존활,무복발,무문합구협착혹하지결혈표현.제시동맥류절제인공혈관이식시치료고립성가동맥류적량호조시,잉연시목전의료조건하유효치료고립성가동맥류적주요수술방식.
A total of 33 patients with isolated lilac artery aneurysms, 19 males and 14 females, who received treatment between January 1997 and June 2007, were retrospectively analyzed. Among these patients, 29 suffered from unilateral iliac artery aneurysm and 4 from bilateral iliac artery aneurysm. Under general anesthesia, all patients were subjected to aneurysmectomy, followed by vascular prosthesis implantation for vascular reconstruction. Results revealed that among 4 cases of bilateral iliac artery aneurysm, there was 1 case who was subjected to aorta-bilateral femoral artery vascular prosthesis implantation, and there were 3 cases who underwent aorta-bilateral lilac artery vascular prosthesis implantation; among 29 cases of unilateral lilac artery aneurysm, there was 1 case receiving aorta-common lilac artery vascular prosthesis implantation, 3 cases undergoing iliac-femoral artery vascular prosthesis implantation, 21 cases subjected to common-external iliac artery vascular prosthesis implantation, and 4 cases undertaking common -common lilac artery bypass. Color Doppler ultrasonic examination, spiral CT angiography, or digital subtraction arteriography was performed 3, 6 months, 1, 3, 5, 8, and 10 years after surgery. The mean follow-up time was 5 years. Three cases died of acute cerebral infarction, myocardial infarction, and traffic accident 3, 6, and 2 years after surgery, respectively. The remaining cases well survived as determined by no recurred Uiac artery aneurysm, anastomotic stoma stenosis or lower limb ischemia found. These results indicated that aneurysmectomy and subsequent vascular prosthesis implantation remained a good and primary means for treatment of isolated iliac artery aneurysm under the present medical condition.