中华外科杂志
中華外科雜誌
중화외과잡지
CHINESE JOURNAL OF SURGERY
2014年
8期
597-601
,共5页
徐欣%杨珏%竺梃%岳嘉宁%李永生%侯凯%毛荣富%王玉琦%符伟国
徐訢%楊玨%竺梃%嶽嘉寧%李永生%侯凱%毛榮富%王玉琦%符偉國
서흔%양각%축정%악가저%리영생%후개%모영부%왕옥기%부위국
动脉瘤%动脉瘤,假性%动脉瘤,感染性%支架
動脈瘤%動脈瘤,假性%動脈瘤,感染性%支架
동맥류%동맥류,가성%동맥류,감염성%지가
Aneurysm%Aneurysm,false%Aneurysm,infected%Stents
目的 探讨采用聚四氟乙烯(PTFE)覆膜支架腔内治疗外周动脉瘤的疗效.方法 收集2012年5月至2013年11月收治的13例采用PTFE覆膜支架行腔内修复治疗的外周动脉瘤患者的临床资料,其中男性9例,女性4例,年龄24 ～ 74岁,中位年龄52岁.患者包括颈内动脉假性动脉瘤1例,锁骨下真性动脉瘤2例,内脏动脉瘤4例,髂动脉瘤2例,股动脉瘤4例;真性动脉瘤7例,假性动脉瘤6例.结果 13例患者腔内修复术即时疗效满意,数字减影血管造影显示动脉瘤瘤腔消失,远端动脉搏动正常.术后随访3 ～18个月,1例髂外动脉瘤术后3个月出现股动脉穿刺点假性动脉瘤,予以手术修复,其余病例未见手术并发症,外周动脉瘤消失,支架通畅,远端肢体或脏器动脉无栓塞,供血正常.结论 采用PTFE覆膜支架对外周动脉瘤进行腔内修复术,创伤小,能有效治疗外周动脉瘤.
目的 探討採用聚四氟乙烯(PTFE)覆膜支架腔內治療外週動脈瘤的療效.方法 收集2012年5月至2013年11月收治的13例採用PTFE覆膜支架行腔內脩複治療的外週動脈瘤患者的臨床資料,其中男性9例,女性4例,年齡24 ～ 74歲,中位年齡52歲.患者包括頸內動脈假性動脈瘤1例,鎖骨下真性動脈瘤2例,內髒動脈瘤4例,髂動脈瘤2例,股動脈瘤4例;真性動脈瘤7例,假性動脈瘤6例.結果 13例患者腔內脩複術即時療效滿意,數字減影血管造影顯示動脈瘤瘤腔消失,遠耑動脈搏動正常.術後隨訪3 ～18箇月,1例髂外動脈瘤術後3箇月齣現股動脈穿刺點假性動脈瘤,予以手術脩複,其餘病例未見手術併髮癥,外週動脈瘤消失,支架通暢,遠耑肢體或髒器動脈無栓塞,供血正常.結論 採用PTFE覆膜支架對外週動脈瘤進行腔內脩複術,創傷小,能有效治療外週動脈瘤.
목적 탐토채용취사불을희(PTFE)복막지가강내치료외주동맥류적료효.방법 수집2012년5월지2013년11월수치적13례채용PTFE복막지가행강내수복치료적외주동맥류환자적림상자료,기중남성9례,녀성4례,년령24 ～ 74세,중위년령52세.환자포괄경내동맥가성동맥류1례,쇄골하진성동맥류2례,내장동맥류4례,가동맥류2례,고동맥류4례;진성동맥류7례,가성동맥류6례.결과 13례환자강내수복술즉시료효만의,수자감영혈관조영현시동맥류류강소실,원단동맥박동정상.술후수방3 ～18개월,1례가외동맥류술후3개월출현고동맥천자점가성동맥류,여이수술수복,기여병례미견수술병발증,외주동맥류소실,지가통창,원단지체혹장기동맥무전새,공혈정상.결론 채용PTFE복막지가대외주동맥류진행강내수복술,창상소,능유효치료외주동맥류.
Objective To evaluate the value and clinical effect of peripheral aneurysms with polytetrafluoroethene (PTFE) stent graft after peripheral endovascular procedures.Methods From May 2012 to November 2013,13 patients of peripheral aneurysms were treated with PTFE stent graft.There were 9 male and 4 female patients,aged from 24 to 74 years with a mean of 52 years.There were 7 aneurysms and 6 pseudoaneurysms.This stent graft was a self-expanding nitinol stent,internally covered by an ultra-thin polytetrafluoroethene (PTFE) graft.All peripheral aneurysms were repaired with the PTFE stent graft,using an entirely percutaneous approach.All patients were given clopidogrel and (or) aspirin postoperatively.Complications and reintervention rates were also examined.Results PTFE stent graft placement was successfully performed in all the 13 cases,and the instant isolation effect was quite satisfactory.During the follow-up period of 3 to 18 months,no stent graft related complications occurred in all patients except one patient with iliac arterial pseudoaneurysm,who developed pseudoaneurysms presented as a complication at puncture site.There were no other symptomatic complications with graft patience.Conclusion Endovascular repair can be considered as an effective treatment strategy for peripheral aneurysms by PTFE stent graft.
