摘要
目的总结主动脉瘤的外科治疗、腔内隔绝治疗的经验。方法回顾性分析1992年9月至2005年2月我院收治各类主动脉瘤患者46例的临床资料,男性38例,女性8例;平均年龄51.7岁;升主动脉瘤17例,胸主动脉瘤8例,腹主动脉瘤21例。手术治疗40例,其中Bentall手术10例,同期Bentall联合全弓替换1例,全弓替换2例,单纯升主动脉人工血管替换4例,胸主动脉瘤体切除人工血管置换3例,其中1例同时行双肾动脉搭桥术,胸主动脉瘤人工血管修补2例,1例行包裹术,腹主动脉瘤21例中行腋-股动脉人工血管搭桥2例,“Y”型人工血管置换7例,直型人工血管替换8例。腔内隔绝治疗6例;其中StanfordB型夹层动脉瘤2例,腹主动脉瘤4例。结果手术死亡1例,死亡率为2.5%,腔内隔绝治疗均成功。随访1个月至10年,有10例患者失访,随访期间1例死亡,总死亡率为4.3%。结论外科手术仍然是治疗主动脉瘤的一种十分有效和经济实用的主要方法。
Objective To summarize our experience of surgical treatment for aortic aneurysm. Methods Retrospectively analysis 46 clinical data of various aneurysm in China-Japan Friendship hospital from September 1992 to February 2005, 38 cases are male, 8 cases are female, the average age is 51.7 years old. Ascending aortic aneurysm 17 cases, Thoracic aortic aneurysm(TAA) 8 cases, Abdominal aortic aneurysm(AAA) 21 cases. 40 cases were performed operation, 6 cases were treated by endovascular graft repair(EVGR). The operation including Bentall's operation in 10, Bentall's operation with total aortic arch replacement in 1, total aortic arch replacement in 2, replacement of the ascending aorta in 4 , descending aorta in 3 and abdominal aorta in 15, aneurysm repair in 2 and axilla-femoral bypass in 2 . Results one case was dead after operation, all 6 cases treated by EVR were successful, the mortality was 2.5%. follow-up period was ranged from 1 month to 10 years, 10 cases were disconnected during follow-up, one case was dead during follow up, overall mortality was 4.3%. Conclusion Operation is still effective main method for treating aortic aneurysm.
出处
《中国心血管病研究》
CAS
2005年第7期494-496,共3页
Chinese Journal of Cardiovascular Research
关键词
主动脉瘤
外科治疗
Aortic aneurysm,Surgical treatment
