目的 总结主单髂支架植入联合股股动脉转流复合技术治疗复杂腹主动脉病变的疗效。
方法 2004年1月－2012年9月，采用主单髂支架植入联合股股动脉转流复合技术治疗复杂腹主动脉病变12例。其中男9例，女3例；年龄36～79岁，平均61.7岁。病程4h～30d，中位时间10d。腹主动脉下腔静脉瘘2例，多发性腹主动脉及髂动脉瘤1例，腹主动脉瘤合并一侧髂动脉严重狭窄3例，腹主动脉瘤合并一侧髂动脉严重扭曲1例，腹主动脉瘤合并远端瘤颈夹层1例，Schumacher分型为Ⅱa型腹主动脉瘤且远端瘤颈狭窄2例，急诊腹主动脉瘤破裂2例。
结果 患者均痊愈出院，未出现手术并发症。12例均获随访，随访时间3个月～7年，中位时间52个月。腹主动脉CT血管造影检查示支架位置良好，动静脉瘘消失，动脉瘤瘤体隔绝良好，无内漏，双侧股动脉转流吻合口通畅、无狭窄。随访期间无再发腹主动脉瘤及动静脉瘘，双下肢血供正常。
结论 主单髂支架植入联合股股动脉转流复合技术治疗复杂腹主动脉病变具有较好的手术安全性和成功率，临床疗效满意。
Citation：
余朝文, 高涌, 聂中林, 宋涛, 陈世远, 卢冉. 主单髂支架植入联合股股动脉转流复合技术治疗复杂腹主动脉病变. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(1): 131-132. doi: 10.7507/1002-1892.20140031
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- 1. Wang SW,Lin Y,Yao C,et al.Comparison of clinical curative effect between open surgery and endovascular repair of abdominal aortic aneurysm in China.Chin Med J (Engl),2012,125(10):1824-1831.
- 2. Levin DC,Rao VM,Parker L,et al.Endovascular repair vs open surgical repair of abdominal aortic aneurysms:comparative utilization trends from 2001 to 2006.J Am Coll Radiol,2009,6(7):506-509.
- 3. Bayramoğlu Z,Sanisoğlu I,Onat L,et al.Endovascular stent graft repair of abdominal and thoracic aortic aneurysms.Anadolu Kardiyol Derg,2012,12(1):84-86.
- 4. Chen YF.Endovascular repair of abdominal aortic aneurysms-is it better than open surgical repair? J Chin Med Assoc,2003,66(7):383-385.
- 5. 张宏鹏,郭伟,刘小平,等.联合股-股动脉旁路移植术的单臂支架腔内修复腹主动脉瘤的经验.中国微创外科杂志,2008,8(2):128-130.
- 6. Peppelenbosch N,Geelkerken RH,Soong C,et al.Endograft treatment of ruptured abdominal aortic aneurysms using the Talent aortouniiliac system:an international multicenter study.J Vasc Surg,2006,43(6):1111-1123.
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