CAJ | 학술논문

目的探讨迷走脾动脉瘤的治疗方法及疗效评价.方法回顾性分析新疆维吾尔自治区人民医院血管外科2012年1月-2014年5月收治的12例迷走脾动脉瘤患者,其中男性4例,女性8例,对其治疗方法进行临床分析.迷走脾动脉瘤均起源于肠系膜上动脉,瘤体均为单发,直径1.5 ～2.8 cm,平均2.1 cm.12例均行手术治疗,4例行开放手术切除瘤体,5例行脾动脉介入栓塞治疗,3例行瘤体内栓塞+肠系膜上动脉内覆膜支架植入.结果 12例治疗均获成功,2例出现腹痛、发热等不适反应.未出现脾动脉瘤复发、增大或破裂.12例均获随访,每隔3个月复查彩色多普勒超声或CT血管成像,随访时间6～24个月,1例术后1年死于腹腔大出血;11例情况良好,无复发.结论对于具有适合解剖条件的迷走脾动脉瘤,腔内治疗安全有效,对于累及肝动脉的迷走脾动脉瘤,需开放手术进行血管重建.
목적 탐토미주비동맥류적치료방법급료효평개.방법 회고성분석신강유오이자치구인민의원혈관외과2012년1월-2014년5월수치적12례미주비동맥류환자,기중남성4례,녀성8례,대기치료방법진행림상분석.미주비동맥류균기원우장계막상동맥,류체균위단발,직경1.5 ～2.8 cm,평균2.1 cm.12례균행수술치료,4례행개방수술절제류체,5례행비동맥개입전새치료,3례행류체내전새+장계막상동맥내복막지가식입.결과 12례치료균획성공,2례출현복통、발열등불괄반응.미출현비동맥류복발、증대혹파렬.12례균획수방,매격3개월복사채색다보륵초성혹CT혈관성상,수방시간6～24개월,1례술후1년사우복강대출혈;11례정황량호,무복발.결론 대우구유괄합해부조건적미주비동맥류,강내치료안전유효,대우루급간동맥적미주비동맥류,수개방수술진행혈관중건.
Objective To assess the treatment of splenic artery aneurysms(SAA) and curative effect evaluation.Methods Twelve SAA patients treated in our hospital from January 2012 to May 2014 were clinical analyzed.The male in Twelve patients was 4 man and others were female.The vagus splenic artery aneurysms are originated from the superior mesenteric artery,tumors are single,from 1.5cm to 2.8cm in diameter,an average of 2.1cm.Twelve cases were performed surgery,4 patients underwent elective surgery,interventional embolization of the splenic aneurysm in 3 patient,The others were performed interventional embolization + superior mesenteric artery covered stents.Results Technical success was achieved in all twelve patients,2 patients had adverse effects such as abdominal pain,fever,etc.There revealed no aneurysm recurrence was found.Twelve patients were followed for 6-24 months,the follow-up by examinations with electronic computer X-ray tomography or color Doppler ultrasonic as well as angiography every 3 months.One patient died of severe abdominal bleeding 1 year later after the operation and the other eleven patients remained in good condition with no occurrence of re-canalization of the lesions.Conclusions For the vagus splenic aneurysm with suitable for anatornic conditions,cavity therapy is safe and effective,for the vagus splenic aneurysm involving hepatic artery,need to open surgery for vascular remodeling.