肾动脉水平以下腹主动脉瘤153例手术治疗体会

Oparative experiences in 153 cases of abdominal aorticaneurysms distal to renal arteries.

本文报告１９６０年１月至１９９３年１２月间行肾动脉水平以下腹主动脉瘤切除人造血管移植术１５３例。其中男性１２４例，女性２９例。年龄最小１５岁，最大８０岁（平均６３．５岁），其中４０岁以下３４例，６０岁以上６１例。合并有高血压者９８例（６５％），冠心病３５例（２３．０％），糖尿病１５例（９．９％）。Ｂ型超声和ＣＴ对腹主动脉瘤的诊断均有帮助。腹主动脉瘤诊断中最为关键乃是确定动脉瘤上界与肾动脉间的距离，若Ｂ超与ＣＴ不能确定的情况下，主动脉造影（或数字减影）极有帮助。手术操作技术的改进使腹主动脉瘤修补术变得更为迅速、安全和方便。

etween 1 January 1960 and 31 december 1993, 153cases of aortic graft were performed following abdominal aortic aneurysms resection. Their were 124 menand 29 women. 15-80 years old mean 63.5 years. Specific medical condition were present concomitantly withthe aortic abdominal aneurysm: 98 patients (65%) withhypertention, 35 patients (23 % ) with coronary arterydisease 15 patients with diabetes (9. 9% ). To determine the distance between renal artery and aortic aneurysms is essential. Ultrasonography and CT scanare helpful, but not ahuay successful. Arteriography isa very useful method for objective diagnosis. improvingoperative technique enables repairment of aortic abdominal aneurysms becomes rapit and safe.