肠系膜上动脉疾病的治疗分析

发布时间：2018-06-06 04:40

本文选题：肠系膜上动脉血栓形成 + 肠系膜上动脉栓塞　；参考：《重庆医科大学》2015年硕士论文

【摘要】：目的：探讨肠系膜上动脉疾病的治疗方式及治疗经验。方法：回顾性分析重庆医科大学附属第一医院血管外科收治的34例肠系膜上动脉疾病患者的临床资料,其中肠系膜上动脉闭塞病例18例,肠系膜上动脉扩张病例16例,分析其临床治疗方法及效果。结果：18例肠系膜上动脉闭塞病例中,经血管腔内介入治疗9例,其中置管溶栓治疗8例,经溶栓治疗后闭塞血管再通率达100%,植入球囊扩张式支架1例,术后支架内血流通畅；4例开腹手术治疗,术后闭塞血管通畅；4例保守治疗,其中3例有效,1例无效。16例肠系膜上动脉扩张病例中,经血管腔内介入治疗10例,植入金属裸支架5例,术后支架内血流通畅,弹簧圈栓塞5例,术后动脉瘤消失,植入覆膜支架3例(3例为假性动脉瘤,同时使用弹簧圈栓塞瘤体),术后支架内血流通畅,无内漏形成；2例开腹手术治疗,术后肠系膜上动脉血流通畅；4例保守治疗,复查显示病变处血流通畅。结论：腔内介入治疗是肠系膜上动脉疾的主要治疗手段,但需根据病变的性质、部位及进展,为患者制定个体化的治疗方案。
[Abstract]:Objective: to explore the treatment and experience of superior mesenteric artery disease. Methods: the clinical data of 34 patients with superior mesenteric artery disease treated in vascular surgery department of the first affiliated Hospital of Chongqing Medical University were retrospectively analyzed, including 18 cases of superior mesenteric artery occlusion and 16 cases of superior mesenteric artery dilatation. The clinical treatment method and effect were analyzed. Results among the 18 cases of superior mesenteric artery occlusion, 9 cases were treated by endovascular intervention, among which 8 cases were treated with catheter thrombolytic therapy. The recanalization rate of occluded vessels was 100% after thrombolytic therapy, and 1 case was implanted with balloon dilated stent. There were 4 cases of open operation with stent flow patency, 4 cases of conservative treatment with patency of occluded blood vessel after operation, among which 1 case was effective in 1 case, 16 cases were dilated superior mesenteric artery, 10 cases were treated by endovascular interventional therapy, 10 cases were treated by endovascular interventional therapy, and 10 cases were treated by endovascular interventional therapy. 5 cases were implanted with bare metal stents, 5 cases were embolized with coil, 5 cases were embolized with coils, 3 cases were pseudoaneurysms, 3 cases were treated with coils, and the blood flow in stents was smooth. No internal leakage was formed in 2 cases of laparotomy and 4 cases of superior mesenteric artery were treated conservatively after operation. The reexamination showed that the blood flow of the lesion was patency. Conclusion: endovascular interventional therapy is the main treatment method for superior mesenteric artery disease, but individualized treatment should be made according to the nature, location and progress of the disease.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R657.2

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