摘要
目的 探讨孤立性髂动脉瘤的病因和临床诊治特点。方法 回顾性分析7 例孤立性髂动脉瘤的诊治经验。结果 7 例中2 例为多发性髂动脉瘤,1 例为髂外动脉瘤,4 例为四肢动脉瘤。6 例患者行动脉瘤切除、人工血管移植术,1 例行右髂内动脉瘤单纯切除术。结论 孤立性髂动脉瘤可结合CT、多普勒超声等明确诊断,并需注意多发性动脉瘤的可能,直径超过3 cm 的髂动脉瘤应手术治疗。为保证盆腔脏器血供,尽量重建髂内动脉血运。
Objective To study the etiology and treatment of isolated iliac aneurysms. Methods Abstract Objective To study the etiology and treatment of isolated iliac aneurysms. Methods The clinical data were retrospectively analyzed for 7 cases of isolated iliac aneurysms treated in our department from January 1987 to July 1999. Results Of them, 2 cases had multiple iliac aneurysms, 1 case external iliac aneurysm combined with other extremity aneurysms. Exclusion of aneurysms and replacement of grafts were preformed in 6 cases, aneurysmectomy alone was performed in 1 patient with internal iliac aneurysm. Conclusions Attention should be paid to the early diagnosis of isolated iliac aneurysms. CT、color Doppler flow imaging will be helpful to confirm the diagnosis, and multiple aneurysms must be kept in mind. Elective surgery for isolated iliac aneurysms over 3?cm in diameter is desirable. Reconstruction of internal iliac artery (at least one side) should be performed to maintain the circulation of pelvic organs.
出处
《中国普通外科杂志》
CAS
CSCD
1999年第6期416-417,共2页
China Journal of General Surgery
