摘要
目的观察腔内修复术(endovascular aneurysm repair,EVAR)治疗破裂性腹主动脉瘤(ruptured abdominal aortic aneurysm,RAAA)的治疗效果,总结EVAR治疗RAAA的经验。方法收集宁夏回族自治区人民医院2012年2月至2017年2月间收治的13例接受腔内治疗的RAAA病人的临床资料,并对相关临床资料进行分析。结果 13例病人均顺利完成腹主动脉瘤腔内隔绝手术,平均手术时间为(180.3±35.4)min,术中平均出血量为(102.5±8.6)ml。术后死亡2例(15.38%);其余11例均康复出院,平均住院时间为(12.3±2.1)d。结论 EVAR治疗RAAA疗效明确、术后并发症少、创伤小、恢复快,是一种很有前景的RAAA治疗方法。
Objective To observe the therapeutic effect of endovascular repair（ EVAR） in the treatment of ruptured abdominal aortic aneurysm（ RAAA） and to summarize the experience of endovascular treatment of RAAA. Methods The clinical data of 13 cases ofRAAA hospitalized in Ningxia Hui Autonomous Region People ＇s Hospital and receiving EVAR were collected from February of 2012 to February of2017,and the relevant clinical data were analyzed. Results All 13 patients underwent successful endovascular exclusive operation. The mean operative time was 180. 3 ± 35. 4 min. The mean intraoperative blood loss was 102. 5 ± 8. 6 mL. There were 2 deaths after operation（ 15. 38%）. The remaining 11 cases were discharged smoothly and the average hospital stay was 12. 3 ± 2. 1 days. Conclusions The curative effectiveness of EVAR for RAAA was definite,with less postoperative complications,less trauma and faster recovery. It is a promising treatment option to RAAA.
作者
欧明辉
芮雅宝
张洪宇
武晓敏
李军
Ou Minghui , Rui Yabao , Zhang Hongyu, Wu Xiaomin, Li Jun.(Department of Vascular Surgery, Peoplgs Hospital of the Ningx- ia Hui Autonomous Region, Yinchuan 750002, China)
出处
《腹部外科》
2017年第6期445-447,共3页
Journal of Abdominal Surgery
基金
国家自然科学基金(81460239和NZ17195)
关键词
破裂性腹主动脉瘤
腔内治疗
Ruptured abdominal aortic aneurysm
Endovascular treatment
