血管腔内介入治疗内脏动脉瘤的疗效分析

发布时间：2019-06-11 13:53

【摘要】：目的：评估经血管腔内介入治疗内脏动脉瘤的疗效方法：回顾分析经血管腔内介入治疗33例VAA的资料，包括脾动脉瘤12例，肝动脉瘤8例，肾动脉瘤6例，肠系膜上动脉瘤5例，，胃十二指肠动脉瘤2例。其中29例行动脉瘤栓塞术，4例用覆膜支架植入术，并有2例多发动脉瘤中瘤体直径㩳2cm的未干预。结果：29例动脉瘤行栓塞术后均获得满意效果，供血动脉完全闭塞，动脉瘤未见显影。1例肝动脉瘤，2例肠系膜上动脉瘤（Superiormesenteric artery aneurysms，SMAA）及1例肾动脉瘤均被覆膜支架隔绝于循环之外。术后随访3-48个月（平均19.2个月），脾动脉瘤栓塞患者有3例出现发热，脾区疼痛等脾梗塞症状；其他动脉瘤患者无介入治疗相关严重并发症或死亡。结论：经血管腔内介入治疗内脏动脉瘤是安全有效的。
[Abstract]:Objective: to evaluate the efficacy of endovascular intervention in the treatment of visceral aneurysm methods: the data of 33 cases of VAA treated by endovascular intervention were analyzed retrospectively. there were 12 cases of spleen aneurysm, 8 cases of hepatic aneurysm and 6 cases of renal aneurysm. There were 5 cases of superior mesenteric aneurysm and 2 cases of gastroduodenal aneurysm. Among them, 29 cases underwent aneurysm embolism, 4 cases were treated with covered stent implantation, and 2 cases had multiple aneurysm diameter 2cm without intervention. Results: satisfactory results were obtained in 29 cases of aneurysm after thrombus. The blood supply artery was completely occlusive and the aneurysm was not developed. 1 case of hepatic aneurysm and 2 cases of superior mesenteric aneurysm (Superiormesenteric artery aneurysms, SMAA) and 1 case of renal aneurysm were isolated from circulation by covered stent. The follow-up period was 3 to 48 months (mean 19.2 months). Three patients with spleen aneurysm embolism had symptoms of spleen infarction such as fever and spleen pain, and other aneurysm patients had no serious complications or death related to interventional therapy. Conclusion: endovascular intervention is safe and effective in the treatment of visceral aneurysm.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R815

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