| 杜占 奎 史亚娜 邓 捷 王效增△ 荆全民 韩雅玲.腔内修复术治疗腹主动脉瘤的临床疗效分析[J].,2015,15(5):878-881 |
| 腔内修复术治疗腹主动脉瘤的临床疗效分析 |
| Analysis of the Clinical Efficacy of Endovascular Aneurysm Repair in theTreatment of Abdominal Aortic Aneurysm |
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| DOI： |
| 中文关键词: 腹主动脉瘤 腔内 修复术 临床疗效 |
| 英文关键词: Abdominal aortic aneurysm(AAA) Endovascular aneurysm repair(EVAR) Curative effect |
| 基金项目:辽宁省科技计划项目（ 201 2225009） |
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| 中文摘要: |
| 目 的： 评价腔内 修复术(EVAR)治疗腹主动脉瘤(AAA)的临床疗效及安全性。 方法： 选择 2008 年 12 月 至 2013 年 12 月 收治
的 29 例 AAA 患者， 给予 EVAR 治疗， 观察其围术期的疗 效及血管破裂死亡、伤口愈合情况、截瘫、腔内 隔绝术后并发症的发生情
况和随访期疗 效及血管破裂死亡、截瘫及内 漏的发生情况。 结果： 29 例手术均成功， 1 例术后 3 天出现右髂动脉支架内 血栓、消化
道出血及肝肾功能衰竭， 行持续性血液净化好转出院。 2 例术区切口愈合延迟， 9 例术后发热，无在院死亡及截瘫病患。 随访期间，
1 例术后 30 天死亡，死于肝肾功能衰竭； 1 例 3 个月 出现肾功能不全； 1 例 双下肢乏力， 无截瘫发生。 存活的 28 例患者复查增强
CT 见支架位置、形态良好， 无移位及内 漏发生。 结论： EVAR 具有成功率高、创伤小、恢复快等特点， 且并发症少， 治疗 AAA 安全
有效。 |
| 英文摘要: |
| Objective:To evaluate the curative effect and safety of endovascular aneurysm repair(EVAR) on abdominal aortic
aneurysm (AAA).Methods:From Dec 2008 to Dec 201 3, 29 patients with AAA undergoing EVAR were selected. The curative effect,
vascular rupture, healing of femoral incision, paraplegia, complications of postoperative in hospital and the curative effect, vascular rupture, leakage were also analyzed in the follow-up visit.Results:During the operation, the primary technical success was 1 00 % in all patients. One patient suffered from thrombosis of stent of right iliac artery, gastrointestinal bleeding, liver and renal failure on the third day
of postoperative. Delayed healing of femoral incision was found in 2 cases and fever was found in 9 cases postoperation. No patient died
or suffered from paraplegia in hospital. One patient died on the thirtieth day postoperation because of liver and renal failure and the
symptom was recovered by continuous blood purification. Renal insufficiency was found in 1 patient and lower extremity fatigue in 1 patient during the follow-up visit. The remaining patients had no stent-related complications (migration, paraplegia, leakage).Conclusion:EVAR was a safe and effective method with less trauma, quick recovery, and less complications in the treatment of AAA. |
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