CAJ | 학술논문

目的评价长鞘联合大球囊阻断技术在破裂腹主动脉瘤腔内治疗的效果及其治疗经验.方法回顾性分析新疆维吾尔自治区人民医院血管外科2009年2月-2014年6月共11例破裂腹主动脉瘤患者的临床资料.其中男性9例,女性2例;年龄69 ～ 88岁,平均76岁.动脉粥样硬化性腹主动脉瘤7例,腹主动脉假性动脉瘤2例,感染性腹主动脉瘤2例.11例术前均完成CT动脉造影检查,急诊行腔内修复术,术中使用长鞘联合大球囊阻断技术.结果术中无患者死亡.术后1例患者出现造影剂肾病;1例出现腹腔间隔室综合征,均在1周后死亡.随访期间,1例出现Ⅰ型内漏,再次行腔内治疗;1例假性动脉瘤复发再次破裂,放弃治疗.结论长鞘联合大球囊阻断技术在破裂腹主动脉瘤腔内治疗是安全有效的治疗方式.
목적 평개장초연합대구낭조단기술재파렬복주동맥류강내치료적효과급기치료경험.방법 회고성분석신강유오이자치구인민의원혈관외과2009년2월-2014년6월공11례파렬복주동맥류환자적림상자료.기중남성9례,녀성2례;년령69 ～ 88세,평균76세.동맥죽양경화성복주동맥류7례,복주동맥가성동맥류2례,감염성복주동맥류2례.11례술전균완성CT동맥조영검사,급진행강내수복술,술중사용장초연합대구낭조단기술.결과 술중무환자사망.술후1례환자출현조영제신병;1례출현복강간격실종합정,균재1주후사망.수방기간,1례출현Ⅰ형내루,재차행강내치료;1례가성동맥류복발재차파렬,방기치료.결론 장초연합대구낭조단기술재파렬복주동맥류강내치료시안전유효적치료방식.
Objective Evaluation the effect of treatment and experience of long sheath combined balloon occlusion in ruptured abdominal aortic aneurysm(RAAA).Methods Retrospective analysis of the clinical data of 11 cases of patients with RAAA form Division of Vascular Surgery in The Xinjiang Autonomous Region People's Hospital from February 2009 to June 2014.There were 9 males and 2 females and aged from 69 to 88 years,averaged 76 years old.There were 7 cases of atherosclerotic abdominal aortic aneurysm,2 cases of abdominal aorta pseudoaneurysm and 2 cases of infected Abdominal Aortic Aneurysms.11 cases were completed CT angiography (CTA) examination before surgery,endovascular repair in emergency which were used the technology of long sheath combined balloon.Results No patients dead during the operation.One patient had contrast induced nephropathy and one case of abdominal compartment syndrome,all died within a week after operation.During the follow-up period,one case had type Ⅰ endoleak and received re-treatment of endovascular;one case with abdominal aorta pseudoaneurysm and give up treatment.Conclusions The technology of long sheath combined balloon occlusion in the endovascular repair treatment of ruptured abdominal aortic aneurysm is a safe and effective method.