CAJ | 학술논문

目的探讨周围动脉瘤的外科手术和腔内治疗策略选择.方法回顾性分析1998年7月至2007年12月接受外科治疗的35例周围动脉瘤患者的临床资料.其中男性28例,女性7例;年龄25～81岁,平均(56±14)岁.胭动脉瘤11例,股动脉瘤15例,颈动脉瘤4例,锁骨下动脉瘤5例,分别采用外科手术或腔内治疗.结果外科手术24例,重建动脉23例,围手术期并发症发生率16.7%(4.24).腔内治疗11例,其中应用支架血管10例,无围手术期并发症.术后31例获得随访,4例失访;随访时间7个月～8年,平均41个月.外科重建血管移植物5年累计通畅率为61%,支架血管5年累计通畅率为48%.2例患者随访期间死于心脑血管疾病.1例发生脑梗死.结论外科手术仍是周围动脉瘤的经典治疗方法,对于高危或瘤体解剖困难的患者,选择腔内治疗可能会减少手术创伤和并发症发生率,但远期效果有待提高.
목적 탐토주위동맥류적외과수술화강내치료책략선택.방법 회고성분석1998년7월지2007년12월접수외과치료적35례주위동맥류환자적림상자료.기중남성28례,녀성7례;년령25～81세,평균(56±14)세.연동맥류11례,고동맥류15례,경동맥류4례,쇄골하동맥류5례,분별채용외과수술혹강내치료.결과 외과수술24례,중건동맥23례,위수술기병발증발생솔16.7%(4.24).강내치료11례,기중응용지가혈관10례,무위수술기병발증.술후31례획득수방,4례실방;수방시간7개월～8년,평균41개월.외과중건혈관이식물5년루계통창솔위61%,지가혈관5년루계통창솔위48%.2례환자수방기간사우심뇌혈관질병.1례발생뇌경사.결론 외과수술잉시주위동맥류적경전치료방법,대우고위혹류체해부곤난적환자,선택강내치료가능회감소수술창상화병발증발생솔,단원기효과유대제고.
Objective To investigate the treatment strategies of peripheral arterial aneurysms. Methods Thirty-five cases were reviewed from July 1998 to December 2007, and 28 cases were male, 7 cases were female. Eleven cases were popliteal artery aneurysms, 15 cases were femoral artery aneurysms, 4 cases were extracranial carotid aneurysms and 5 cases were subclavian artery aneurysms. All cases had either open procedures or endovascualr procedures. Results Surgical open procedures were performed on 24 cases, and endovascular procedures were performed on 11 cases. The perioperational complication rate were 16. 7% (4/24) and 0% for open and endovascular groups respectively. The average follow-up time was 41 months(7 months to 8 years). The accumulative five year patency were 61% and 48% for surgical grafts and stentgrafts respectively. Two cases died of cadiovascular diseases and one had stroke during follow-up. Conclusions Surgical open repair is still standard procedure for most peripheral arterial aneurysms and endovascular repair may have its own advantage for high risk patients.