腔内修复术对外周血管创伤患者的中远期疗效分析

发布时间：2018-08-03 16:22

【摘要】：目的采用腔内修复术治疗外周血管创伤患者,观察其中远期疗效。方法回顾性分析我中心2008年3月至2016年4月46例外周血管创伤患者的临床资料,其中男性34例,女性12例;年龄23~61(39.8±11.6)岁。损伤类型:动脉内膜损伤16例,动脉部分断裂11例,动脉完全断裂7例,假性动脉瘤9例,动静脉瘘3例。46例均经血管造影明确诊断,同时行腔内修复治疗。分别在术后3、6、12个月进行随访,之后每年随访1次。结果 46例患者均成功完成手术,手术成功率100%。手术时间30~90(50±16)min。腔内修复治疗后受损动脉血流恢复通畅,假性动脉瘤及动静脉瘘消失,无对比剂外溢现象。无围手术期死亡及肢体缺血坏死、感染、截肢等严重并发症。46例患者无失访,随访12~61个月,中位随访时间43.5个月。1例出现支架内血栓形成,予溶栓治疗后血流恢复;1例支架内再狭窄50%,予球囊扩张等处理后血流恢复通畅;其余患者动脉血流保持通畅。随访期间无支架移位、断裂、内漏等并发症发生。结论腔内修复术治疗外周血管创伤中远期疗效显著。
[Abstract]:Objective to observe the long-term effect of endovascular repair for peripheral vascular trauma. Methods the clinical data of 46 patients with peripheral vascular trauma from March 2008 to April 2016 were retrospectively analyzed, including 34 males and 12 females, aged 2361 (39.8 卤11.6) years. There were 16 cases of arterial intimal injury, 11 cases of partial rupture of artery, 7 cases of complete rupture of artery, 9 cases of pseudoaneurysm and 3 cases of arteriovenous fistula. They were followed-up 3 and 12 months after operation, and then followed up once a year. Results all 46 patients completed the operation successfully, and the success rate was 100%. The operative time was 30 ~ 90 (50 卤16) min. After endovascular repair, the blood flow of injured artery recovered, pseudoaneurysm and arteriovenous fistula disappeared, and there was no contrast overflow. There were no serious complications such as perioperative death, limb necrosis, infection, amputation and other serious complications. The follow-up period ranged from 12 to 61 months. The median follow-up time was 43.5 months. After thrombolytic therapy, the blood flow recovered in 1 case with restenosis in stents, and after balloon dilatation, the blood flow recovered unobstructed, and the arterial blood flow in other patients remained unobstructed. There were no complications such as stent displacement, rupture and internal leakage during follow-up. Conclusion Endovascular repair is effective in the treatment of peripheral vascular trauma.
【作者单位】：解放军第148医院全军腔内介入诊疗中心;
【基金】：军队后勤科研计划重点项目(CJN14J010)~~
【分类号】：R654.4

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