| 陈亮 顾建平 楼文胜 何旭 陈国平 苏浩波 宋进华 施万印 汪涛 赵伯翔.介入栓塞治疗内脏动脉瘤的临床研究[J].,2014,14(36):7108-7113 |
| 介入栓塞治疗内脏动脉瘤的临床研究 |
| Clinical Research on Endovascular Embolization in the Treatment of VisceralArtery Aneurysms |
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| DOI： |
| 中文关键词: 内脏动脉瘤 介入治疗 栓塞术 |
| 英文关键词: Visceral artery aneurysm Interventional treatment Embolization |
| 基金项目:国家" 十一五" 科技支撑计划（2007BAI05B04） |
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| 中文摘要: |
| 目的：探讨介入血管腔内栓塞治疗内脏动脉瘤的方法、疗效及安全性。方法：选择内脏动脉瘤患者23 例，包括脾动脉瘤13
例，肝动脉瘤2 例，胃十二指肠动脉瘤3 例，肠系膜上动脉瘤4 例，肾动脉瘤1 例。其中，9 例行远近端动脉栓塞术，4 例采用支架
辅助弹簧圈瘤体内填塞，3 例采用弹簧圈瘤体内填塞加瘤体内注胶栓塞术，4例行弹簧圈瘤体内栓塞术，2 例行分支动脉颗粒栓塞
术，1 例行单纯注胶栓塞术。术后1 月、3 月、6 月行超声、CTA或血管造影复查，以后每年复查一次。结果：本组均成功行介入血管
腔内栓塞治疗内脏动脉瘤，栓塞治疗后造影示动脉瘤体和/ 或载瘤动脉闭塞，动脉瘤体内无明显对比剂显影，脾动脉瘤栓塞患者
有3 例出现发热，脾区疼痛等脾梗塞症状，未见栓塞术相关严重并发症发生。4 例消化道出血患者出血均停止。术后随访3～48 个
月，未见动脉瘤破裂出血、动脉瘤复发或增大，支架置入者，支架内及分支动脉血流均保持通畅。结论：介入血管腔内栓塞是一种
治疗内脏动脉瘤的简便、微创、安全有效的方法。 |
| 英文摘要: |
| Objective:To evaluate the efficacy and safety of endovascular interventional techniques in the treatment of visceral
artery aneurysms (VAA).Methods:Twenty-three patients with VAAs were enrolled in the study, including 13 cases of splenic artery
aneurysms, 2 cases of hepatic artery aneurysms, 3 cases of gastroduodenal aneurysms, 4 cases of superior mesenteric artery aneurysms
and 1 case of renal artery aneurysm. Parent artery embolization was used for 9 cases of VAAs, stent grafts plus coil embolization was
used for 4 VAAs, coiling plus glue embolization was used for 3 cases of VAAs, coiling only was used for 4 cases of VAAs, branch artery
embolization was used for 2 cases of VAAs and glue embolization only was used for 1 case of VAA. Ultrasound, CTA or DSA follow-up
was performed 1M, 3M and 6M after operation and annually thereafter.Results:The technique success rate was 100%. After treatment,
immediate angiography showed occlusion of aneurysm sac or/and parent artery without any contrast filling within aneurysm sac. Splenic
infarction symptoms including fever and pain were brought about after obliterating splenic artery aneurysms in 3 patients. No serious
complications were found. Alimentary tract hemorrhage in 4 patients ceased after operation. There was no rupture, recurrence or
enlargement of aneurysm during a 3-48 months' follow-up. The cases with stent grafts demonstrated a patency of stent and parent artery.Conclusion:Endovascular interventional embolization was an invasive, simple, safe and effective method for VAAs. |
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