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时间:2018-11-10
《21例假性动脉瘤的治疗策略》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、介入放射学杂志2009年12月第18卷第12期 JInterventRadiol2009,Vol.18,No.12——896·血管介入Vascularintervention·21例假性动脉瘤的治疗策略袁瑞凡,丁文彬,金杰,明志兵,陆晨希,仲崇俊【摘要】目的探讨假性动脉瘤的部位、类型和发生原因,选择不同的治疗方法。方法对21例假性动脉瘤患者(四肢动脉11例、脾动脉3例、肾动脉2例、髂总动脉2例、髂内动脉1例、胆囊动脉1例、阴茎动脉1例)选择不同的治疗方法,9例肢体动脉近大关节处假性动脉瘤采用球囊临时阻断血流下瘤体切除、血管吻合术或直接切开修补术,4例主干型假性动脉瘤采用覆膜支架腔内隔绝术
2、,其中2例发生于髂内动脉开口处的髂总动脉主干型假性动脉瘤采用分支动脉栓塞和覆膜支架腔内隔绝术,6例终末型假性动脉瘤采用明胶海绵结合不锈钢圈栓塞术。结果21例假性动脉瘤采用不同的方法治疗后瘤腔全部消失,11例肢体动脉假性动脉瘤患者术后远端血管搏动正常,未出现神经损伤,2例脾动脉主干近端、2例髂总动脉主干假性动脉瘤覆膜支架隔绝术后无内漏、远端血流通畅,6例终末型假性动脉瘤患者栓塞后瘤腔消失,出血停止,未出现脏器缺血坏死,其中1例髂内动脉二级分支多发假性动脉瘤患者,栓塞后1周因骨盆复合伤并发重度感染死亡。结论根据假性动脉瘤的部位、类型和产生原因,选择不同的治疗方法,在尽量小的创伤下使各部位假性
3、动脉瘤得到有效的治疗。【关键词】假性动脉瘤;覆膜支架;腔内隔绝术;血管栓塞术;动脉吻合术中图分类号:R543.5文献标志码:A文章编号:1008-794X(2009)-12-0896-04Therapeuticstrategyforpseudoaneurysms:areportof21casesYUANRui-fan,DINGWen-bin,JINJie,MINGZhi-bing,LUChen-xi,ZHONGChong-jun.DepartmentofInterventionalRadiology,theSecondAffiliatedHospital,NantongUniversit
4、y,Nantong226001,China【Abstract】ObjectiveTostudythelocations,typesandcausesofdifferentpseudoaneurysmsinordertofindouttheoptimalindividualizedtreatmentfordifferentpseudoaneurysms.MethodsDifferentmethodswereappliedintreating21patientswithpseudoaneurysm,whichwerelocatedatlimb(n=11),spleen(n=3),kidney
5、(n=2),commoniliacartery(n=1),internaliliacartery(n=1),gallbladder(n=1)andpenis(n=1).Differentmanagementswereemployedintreatingthesepseudoaneurysms.Temporaryobstructionofbloodcirculationwithballoontogetherwitharterialanastomosisordirectincisionneoplastywasperformedin9caseswithpseudoaneurysmsatlimb
6、arteriesclosetothelargerjoints.Endovascularstentgraftwasusedtoisolatethetrunktypeofpseudoaneurysmin4cases,in2ofthembrancharterialembolismandstentgraftendovascularexclusionwereappliedastheyhadcommoniliacarterytrunktypeofpseudoaneurysmattheopeningofinternaliliacartery.Gelfoamtogetherwithmetalliccoi
7、lsembolizationwasemployedin6caseswithterminaltypeofpseudoaneurysms.ResultsAfterdifferenttreatments,tumorcavitiesdisappearedinthe21caseswithpseudoaneurysms.Distalarterialpulsereturnedtonormalandnonervedamageoccurredin11
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