腔内修复治疗腹主动脉瘤20例临床分析

Clinical analysis of endovascular aneurysm repair treatment for abdominal aortic aneurysms(reports of 20 cases)

目的:探讨腔内修复治疗腹主动脉瘤的短期临床疗效以及并发症,总结腔内修复的技术要点和难点。方法:回顾性分析我院2008年9月至2012年7月期间20例腹主动脉瘤患者的临床资料。结果:术中20例(100%)动脉瘤消失,支架形态良好,2例(10%)出现少量Ⅱ型内漏;术后20例(100%)临床痊愈出院。结论:在严格遵循腔内修复指征,掌握腔内修复的技术要点和难点的前提下,腔内修复治疗腹主动脉瘤有手术时间短、出血量少、并发症少、恢复快、微创等优点,远期疗效有待进一步随访。

Objective：To investigate short term therapeutic effect and complications of endovascular aneurysm repair（EVAR） treat- ment for abdominal aortic aneurysm （ AAA）. Methods： The clinical data of 20 patients with AAA received EVAR treatment between September 2008 and July 2012 were analyzed retrospectively. Results ： The operation was performed successfully on 20 （ 20/20 ） cases. 20 cases AAA disappeared and shape of stents was very good. 2 cases （2/20） had a small quantity Ⅱ type endoleak. 20 cases （ 20/20 ） were clinical recovery. Conclusions： If following strictly the indications of EVAR and mastering technique main points and Modus, EVAR had obvious advantages for less operations time,blood transfusion volume,complications,recovery time and trauma. Long -term outcome needs further follow - up.