摘要
目的 探讨腹主动脉瘤的诊断 ,手术时机 ,手术方式的选择 ,人工血管的应用。方法 回顾性分析了 7例腹主动脉瘤诊治的临床资料。结果 DeBaKey1型[1] 胸腹主动脉瘤患者在手术前动脉瘤突然破裂死亡。其余 6例主动脉瘤均行动脉瘤阻断、切开 ,人工血管置换术。其中 1例亚铃状胸腹主动脉瘤分期行手术治疗。无手术并发症 ,均痊愈出院。结论 手术是治疗腹主动脉瘤的有效方法 ,及时明确诊断 ,选择合理的术式和人造血管是手术成功的关键 ,而围手术期的正确处理则是治疗成功的重要保证。
Objective To explore the diagnosis of abdominal aortic aneurysm(AAA), operative opportunity, the way of operation selecting and the application of blood vessel prosthesis. Method The clinical data of 7 patients with AAA were analysed retrospectively.Results The type of DeBakey I thoracoabdominal aortic aneurysm patient was died of aortic aneurysm broke suddenly before operation, the other 6 patients with AAA underwent aortic aneurysm blooking, opening and replacement of blood vessel prosthesis. Dumbbell thoracoabdominal aortic aneurysm was operated by stayes. No complications of operation occurred. Conclusions Operation is a efficient way in treatment of abdominal aortic aneurysm. Diagnosis timely and definitly, selecting the way of operation in reason and blood vessel prosthesis are the keys to operation, while the correct treatment of perioperation period is the important guaranty of successful therapy.
出处
《临床外科杂志》
2001年第5期313-314,共2页
Journal of Clinical Surgery
关键词
主动脉瘤
人工血管
诊断
治疗
Aortic aneurysms
Blood vessel prosthesis
Diagnosis and treatment
