[1]李祺熠,许太福,苏奕明,等. 多种介入技术联合腔内修复术治疗复杂瘤颈腹主动脉瘤临床研究[J].中国医学物理学杂志,2019,36(8):924-928.[doi:DOI:10.3969/j.issn.1005-202X.2019.08.012]
　LI Qiyi,XU Taifu,SU Yiming,et al. Multiple interventional techniques combined with endovascular repair for abdominal aortic aneurysms with complex aneurysm neck[J].Chinese Journal of Medical Physics,2019,36(8):924-928.[doi:DOI:10.3969/j.issn.1005-202X.2019.08.012]
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 多种介入技术联合腔内修复术治疗复杂瘤颈腹主动脉瘤临床研究()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
36卷
期数:
2019年第8期
页码:
924-928
栏目:
医学影像物理
出版日期:
2019-08-26

文章信息/Info

Title:
 Multiple interventional techniques combined with endovascular repair for abdominal aortic aneurysms with complex aneurysm neck
文章编号:
1005-202X（2019）08-0924-05
作者:
 李祺熠; 许太福; 苏奕明; 侯培勇
 广西医科大学第四附属医院（柳州市工人医院）血管外科， 广西 柳州 545005
Author(s):
 LI Qiyi;  XU Taifu;  SU Yiming;  HOU Peiyong
 Department of Vascular Surgery, Liuzhou Workers’ Hospital (Fourth Affiliated Hospital of Guangxi Medical University), Liuzhou 545005, China
关键词:
 ; 复杂瘤颈; 腹主动脉瘤; 腔内修复术; 介入技术; 内漏
Keywords:
 ; Keywords: complex aneurysm neck;  abdominal aortic aneurysm;  endovascular repair;  interventional technique;  endoleak
分类号:
R654.3
DOI:
DOI:10.3969/j.issn.1005-202X.2019.08.012
文献标志码:
A
摘要:
 目的：评估全腔内治疗复杂瘤颈腹主动脉瘤的安全性及早中期疗效。方法：回顾性分析2012年1月~2018年10月在柳州市工人医院血管外科诊治的腹主动脉瘤患者的临床资料。将符合复杂瘤颈并行全腔内治疗、临床资料完善的腹主动脉瘤患者纳入本研究。结果：共33例复杂瘤颈腹主动脉瘤患者进行了全腔内治疗，在进行传统的腔内修复术的同时，9例联合纤维蛋白粘合剂瘤腔内注射术，12例联合近端瘤颈Cuff支架植入，8例联合肾动脉支架植入，4例联合下行导丝牵拉技术。所有病例均获得技术性成功。在3个月~7年的随访过程中，3例术后出现1a型内漏，2例随访中瘤腔未见明显增大，1例再次行介入治疗后内漏消失。另30例患者在随访中未见腹主动脉瘤破裂、支架内漏、移位、感染等并发症。结论：根据瘤颈解剖特点，多种介入技术联合腔内修复术治疗复杂瘤颈腹主动脉瘤是安全可行的，早中期的随访提示疗效良好。
Abstract:
 Abstract: Objective To evaluate the safety and early and medium-term efficacy of endovascular treatment for abdominal aortic aneurysms with complex aneurysm neck. Methods The clinical data of patients with abdominal aortic aneurysms who were treated in Department of Vascular Surgery of Liuzhou Workers’ Hospital from January 2012 to October 2018 were retrospectively analyzed. Patients who were diagnosed with complex aneurysm neck and received endovascular treatment, with complete clinical data, were enrolled in the study. Results A total of 33 patients with abdominal aortic aneurysms and complex aneurysm neck were treated with endovascular treatment. The traditional endovascular repair was combined with multiple interventional techniques, including intracavitary injection of fibrin glue in 9 cases, Cuff stent implantation at proximal aneurysm neck in 12 cases, renal artery stent implantation in 8 cases, and downstream guidewire distraction technique in 4 cases. All cases were technically successful. During the follow-up period of 3 months to 7 years, 3 cases had type 1a endoleak after operation. The aneurysm cavity in 2 cases had no obvious increase during the follow-up, and the endoleak in 1 case was disappeared after another intervention therapy. In the other 30 cases, no complications such as abdominal aortic aneurysm rupture, stent endoleak, displacement and infection were observed during follow-up. Conclusion For abdominal aortic aneurysms with complex aneurysm neck, multiple interventional techniques combined with endovascular repair based on the anatomical features of aneurysm neck is proved to be safe and feasible, and the early and medium-term follow-ups indicate that the combined treatment can achieve a good therapeutic effect.

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备注/Memo

备注/Memo:
 【收稿日期】2019-01-04
【基金项目】广西省柳州市科技局重点研发计划（2018BJ10508）
【作者简介】李祺熠，硕士，副主任医师，E-mail: 3578891896@qq.com
【通信作者】侯培勇，E-mail: 2216740356@qq.com
更新日期/Last Update: 2019-08-26