CAJ | 학술논문

孤立性肠系膜上动脉夹层是临床上的少见病,该病的治疗目前尚无统一方案.本研究回顾性分析2011年4月至2012年1月扬州大学临床医学院收治的3例孤立性肠系膜上动脉夹层患者的临床资料,旨在探讨该病的影像诊断和治疗效果.3例患者经过保守治疗后腹痛症状缓解不明显甚至加重,行血管腔内裸支架植入术治疗,术后继续给予抗凝、抗血小板治疗.3例患者支架腔内重建术均获成功,共植入7个裸支架；植入支架后患者的腹痛症状有不同程度减轻,3d后腹痛均消失.复查CT血管重建肠系膜上动脉内支架位置良好,支架腔内血流通畅,夹层及假腔消失.
고립성장계막상동맥협층시림상상적소견병,해병적치료목전상무통일방안.본연구회고성분석2011년4월지2012년1월양주대학림상의학원수치적3례고립성장계막상동맥협층환자적림상자료,지재탐토해병적영상진단화치료효과.3례환자경과보수치료후복통증상완해불명현심지가중,행혈관강내라지가식입술치료,술후계속급여항응、항혈소판치료.3례환자지가강내중건술균획성공,공식입7개라지가；식입지가후환자적복통증상유불동정도감경,3d후복통균소실.복사CT혈관중건장계막상동맥내지가위치량호,지가강내혈류통창,협층급가강소실.
Isolated superior mesenteric artery dissection (ISMAD) is rarely seen in clinical practice,and its treatment has not been standardized.The clinical data of 3 patients with ISMAD who were admitted to the Yangzhou University from April 2011 to January 2012 were retrospectively analyzed to investigate the imaging diagnosis and treatment of this disease.All the 3 patients received conservative treatment,but the abdominal pain was not alleviated or even worsened,and then they received percutaneous endovascular reconstruction with bare stent implantation.Antiplatelet therapy and anticoagulation after stent placement were given to the 3 patients after stent placement.Seven bare stents were implanted.The abdominal pain was alleviated and disappeared gradually within 3 days.Computed tomography angiography showed complete resolution of the dissection and false lumen with sufficient flow of in-stent and superior mesenteric artery.Percutaneous endovascular reconstruction with bare stent implantation is a effective and reliable treatment method for ISMAD.