脾动脉起始部真性动脉瘤的手术治疗(附7例报告)

The operative treatment of the true aneurysm in the initial splenic artery

目的:探讨脾动脉起始部真性动脉瘤的手术治疗方法,总结临床治疗经验。方法:回顾性总结1996年1月至2006年8月收治的7例病人,经彩色超声、CT和血管造影检查证实脾动脉起始部真性动脉瘤;均在全身麻醉下行动脉瘤切除,5例行脾动脉血管重建,2例同时行脾脏切除。结果:手术后10～14d治愈出院。随访1～9年,1例人工血管转流术后2年死于急性心肌梗塞,余6例均健康生活,无复发。结论:脾动脉起始部真性动脉瘤切除、脾动脉重建是一种较好的治疗方案。

Objective： To investigate the operative method of the true aneurysm in the initial part of splenic artery, and to summary clinic therapeutic experiences. Methods： To summary the 7 patients who suffered from the initial splenic true aneurysm from 1996 to 2006, and which cases were identified by color ultrasound, CT scan and angiography. All splenic aneurysm were cut off including splenic artery revascularlization on 5 patients, Results： All patients were cured and discharged from hospital in the 10th-14th day, and which patients were followed-up for 1-9 years. 5 cases were healthy except one died of acute myocardiac infarction 2 years later post operation. Conclusion To cut off the initial splenic true aneurysm and to revasculize splenic artery is a better operative method to cure this disease.