CAJ | 학술논문

目的探讨动脉血管损伤造成的动脉内膜损伤、假性动脉瘤及动-静脉瘘病变介入治疗的临床疗效.方法 2009年10月至2011年12月成都军区昆明总医院血管外科对24例血管损伤后造成的动脉内膜损伤、假性动脉瘤及动-静脉瘘病变,应用血管腔内介入技术,通过栓塞和支架置入等微创手段治疗.结果 24例患者均采用腔内治疗,14例患者经皮穿刺手术,10例股部切口暴露股动脉穿刺手术,其中单纯栓塞3例,栓塞加覆膜支架置入2例,覆膜支架置入12例及裸支架置入7例,手术成功率100％.治疗后损伤动脉血流恢复,假性动脉瘤缩小,局部疼痛缓解,静脉压力减低.结论血管损伤后造成的动脉内膜损伤、假性动脉瘤及动-静脉瘘病变,应用血管腔内介入技术,通过栓塞和支架置入微创手段治疗,创伤小、并发症少、疗效满意,是一种值得尝试应用的治疗方法.
목적 탐토동맥혈관손상조성적동맥내막손상、가성동맥류급동-정맥루병변개입치료적림상료효.방법 2009년10월지2011년12월성도군구곤명총의원혈관외과대24례혈관손상후조성적동맥내막손상、가성동맥류급동-정맥루병변,응용혈관강내개입기술,통과전새화지가치입등미창수단치료.결과 24례환자균채용강내치료,14례환자경피천자수술,10례고부절구폭로고동맥천자수술,기중단순전새3례,전새가복막지가치입2례,복막지가치입12례급라지가치입7례,수술성공솔100％.치료후손상동맥혈류회복,가성동맥류축소,국부동통완해,정맥압력감저.결론 혈관손상후조성적동맥내막손상、가성동맥류급동-정맥루병변,응용혈관강내개입기술,통과전새화지가치입미창수단치료,창상소、병발증소、료효만의,시일충치득상시응용적치료방법.
Objective To explore the clinical efficacies of endovascular therapy for traumatic arterial intima injury,arterial pseudoaneurysm and arteriovenous fistula.Methods From October 2009 to December 2011,24 patients of arterial intima injury,arterial pseudoaneurysm and arteriovenous fistula underwent endovascular therapy including embolism and stent implantation,etc.Results Among them,14 patients were punctured directly and another 10 were punctured after the exposure of arteries.The interventions included embolism (n =3),embolism plus covered stent implantation (n =2),covered stent implantation (n =12) and bare stent implantation (n =7).And the surgical success rate was 100％.After endoluminal treatment,arterial blood flow recovered,arterial pseudoaneurysm shrank,local pain relieved and venous blood pressure decreased.Conclusion As an effective therapy for traumatic arterial intima injury,arterial pseudoaneurysm and arteriovenous fistula,endovascular therapy has minimal trauma,fewer complications and satisfactory outcomes.