目的交流腹主動脈瘤的診斷和外科治療方法。方法對1991年2月至2002年7月我院外科治療的30例腎下型腹主動脈瘤的臨床資料進行回顧性分析。結果數字減影血管造影術診斷1例，MRI診斷2例，其余27例均經CT確診。該30例中，腹主動脈瘤破裂6例，行急診手術，死亡2例（死亡率33.3%）； 24例未破裂者中， 22例行腹主動脈瘤切除和原位人造血管移植術，術后死亡2例（死亡率9.1%），另2例行腹主動脈瘤腔內人造血管移植術。結論及早術前診斷，恰當地選擇手術時機、手術方式及正確的圍手術期處理是提高手術成功率，減少術后并發癥和死亡率的關鍵。
引用本文：
陳國玉,楊宏宇,章希煒,夏建國,楊力. 30例腹主動脈瘤的外科診療結果分析. 中國普外基礎與臨床雜志, 2003, 10(4): 386-387. doi:
復制
| 1. |
Quill DS,Colgan MP,Summer DS.Ultrasonic screening for detection of abdominal aortic aneurysms [J]. Surg Clin North Am, 1989; 69(4)∶713.
|
| 2. |
Gillum RF.Epidemiology of aortic aneurysm in the United States [J]. J Clin Epidemiol, 1995; 48(11)∶1289.
|
| 3. |
Moher D,Cole CW,Hill GB. Definition and management of abdominal aortic aneurysms:results from a Canadian survey [J].Can J Surg, 1994; 37(1)∶29.
|
| 4. |
Scott RA, Ashton HA, Lamparelli MJ， et al.A 14year experience with 6 cm as a criterion for surgical treatment of abdominal aortic aneurysm [J]. Br J Surg, 1999; 86(10)∶1317.
|
| 5. |
Parodi JC,Palmaz JC,Barone HD.Transfemoral intraluminal graft implantation for abdominal aortic aneruysms [J]. Ann Vasc Surg,1991; 5(6)∶491.
|
- 1. Quill DS,Colgan MP,Summer DS.Ultrasonic screening for detection of abdominal aortic aneurysms [J]. Surg Clin North Am, 1989; 69(4)∶713.
- 2. Gillum RF.Epidemiology of aortic aneurysm in the United States [J]. J Clin Epidemiol, 1995; 48(11)∶1289.
- 3. Moher D,Cole CW,Hill GB. Definition and management of abdominal aortic aneurysms:results from a Canadian survey [J].Can J Surg, 1994; 37(1)∶29.
- 4. Scott RA, Ashton HA, Lamparelli MJ， et al.A 14year experience with 6 cm as a criterion for surgical treatment of abdominal aortic aneurysm [J]. Br J Surg, 1999; 86(10)∶1317.
- 5. Parodi JC,Palmaz JC,Barone HD.Transfemoral intraluminal graft implantation for abdominal aortic aneruysms [J]. Ann Vasc Surg,1991; 5(6)∶491.
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