摘要
目的总结近肾动脉腹主动脉闭塞症的诊断和治疗体会。方法对我科在1999年1月～2005年12月6例诊断为近肾动脉腹主动脉闭塞症接受手术治疗的临床资料进行回顾性分析。其中3例作腹主-双髂(股)动脉旁路手术,2例作肾下腹主动脉取栓加腹主-双髂(股)动脉旁路手术,1例单纯作腹主动脉-双侧髂动脉切开取栓手术。结果术后全部病人双足背动脉搏动恢复,双肾功能正常,间歇性跛行消失。结论近肾动脉腹主动脉闭塞症的诊断除根椐临床症状和体征外需进一步行血管造影、MRI、CTA等检查。术中必须行肾动脉以上腹主动脉阻断时,应采用尽可能低的位置阻断,并对受累器官采取保护措施,阻断时间要尽可能缩少。
Objective To summarize the experience in the diagnosis and treatment of the justareual aortic occlusion. Methods From January 1999 to December 2005,6 cases with justavenal arotic occlusion received operative treatment were analyzed retrospectively.Among them,3 cases underwent supra-renal aorto-bilateral iliac（femoral）artery bypass,2 cases underwent infra renal aortic embolectomy plus aorto-bilateral iliac （or femoral） artery bypass and 1 case underwent simple abdominal aorto-bilateral iliuc artery embolectomy.Results Bilateral arteria dorsalic pedis pulsation were recovered in all cases,after operation.Bilateral renal functions were normal, and intermittent clinical symptonis and diagnosis claudication was disap signs, the angiography, peared.Conclusion Except that according to the MRI and CTA are necessary to confirm the of Justarenal aortic occlusion.If suprareual aorta must be blocked during operation, the position of blockage is taken as lower as possible. Protect measure is used to involved organs. The blacking time should be shortened as far as possible.
出处
《岭南现代临床外科》
2006年第4期284-285,共2页
Lingnan Modern Clinics in Surgery
