论文部分内容阅读
目的探讨支架型人工血管介入治疗降主动脉假性动脉瘤的可行性及疗效。方法2001年9月至2004年9月,用支架型人工血管治疗降主动脉假性动脉瘤患者6例。4例病因为外伤,2例病因不明,3例行急诊手术。6例为男性,年龄(42.2±15.2)岁;瘤体直径(5.0±1.1)cm。结果支架型人工血管均顺利植入。1例有近端内漏,术后30d内无死亡。术后随诊(9.3±10.7)个月。1例于术后4个月死亡,1例于5个月后因再发假性动脉瘤接受再次支架型血管植入术。结论支架型人工血管是治疗主动脉假性动脉瘤的有效方法,但中远期效果还有待进一步观察。
Objective To investigate the feasibility and efficacy of scaffold-based vascular interventional therapy for descending aortic pseudoaneurysm. Methods From September 2001 to September 2004, 6 patients with descending aortic pseudoaneurysm were treated with stent-graft. 4 cases of trauma, 2 cases of unknown etiology, 3 cases of emergency surgery. 6 cases were male, aged (42.2 ± 15.2) years old; tumor diameter (5.0 ± 1.1) cm. Results Stent graft was successfully implanted. 1 case of proximal endoleak, no death within 30 days after operation. Postoperative follow-up (9.3 ± 10.7) months. One patient died 4 months after surgery, and one patient underwent revascularization after resection of pseudoaneurysm 5 months later. Conclusion Stent-type vascular prosthesis is an effective method for the treatment of aortic pseudo-aneurysms, but the long-term effect remains to be further observed.