内脏动脉瘤20例的治疗选择

Treatment for visceral artery aneurysm analysis of 20 cases

目的 探讨内脏动脉瘤的诊断、治疗方法.方法 回顾性分析第四军医大学附属第一医院2008年6月-2013年12月收治的20例内脏动脉瘤患者的临床资料,并对其治疗结果进行分析.结果 20例患者,男性11例,女性9例,其中脾动脉瘤12例,肠系膜上动脉瘤2例,肾动脉瘤2例,肝动脉瘤2例,腹腔干动脉瘤1例,胃十二指肠动脉瘤1例.10例行开放外科手术治疗,10例行血管腔内治疗,1例死亡,其余患者痊愈出院.随访10 ～76个月,平均28.5个月,其中2例患者因肝硬化死亡,其余患者均存活,无治疗相关并发症,无动脉瘤复发等严重并发症.结论 传统外科手术及血管腔内治疗内脏动脉瘤均可取得满意疗效.

Objective To investigate the diagnosis and treatment of visceral artery aneurysms （VAAs）.Methods From June 2008 to December 2013,20 patients （11 male and 9 female） with visceral artery aneurysms were treated in our hospital.The clinical data and treatment outcomes were retrospectively analyzed.Results There were 20 patients,including 11 males and 9 females.The site of aneurysmal disease was splenic artery in 12 cases,mesenteric artery in 2 cases,hepatic artery in 2 cases,renal artery in 2 cases,celiac artery in 1 case and gastroduodenal artery 1 case.10 patients were treated by open surgery,and other 10 patients treated by endovascular.1 patient died,and others were discharged.All patients were followed up 28.5 months （ranged from 10 to 76 months）.Two patients died due to cirrhosis of the liver,and the remaining patients were alive,no treatment-related complications,no serious complications,such as aneurysm recurrence occurs.Conclusions Both traditional surgical and endovascular treatment of visceral artery aneurysms may obtain a satisfactory outcome.