[1]许太福 李祺熠 苏奕明 魏立春 张科 罗长志 侯培勇**.粘合剂联合腔内修补治疗复杂瘤颈腹主动脉瘤9例报告[J].中国微创外科杂志,2019,01(3):243-247.
　Xu Taifu,Li Qiyi,Su Yiming,et al.Adhesive Combined With Endovascular Repair for Abdominal Aortic Aneurysm With Complicated Neck[J].Chinese Journal of Minimally Invasive Surgery,2019,01(3):243-247.
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粘合剂联合腔内修补治疗复杂瘤颈腹主动脉瘤9例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年3期
页码:
243-247
栏目:
临床研究
出版日期:
2019-03-25

文章信息/Info

Title:
Adhesive Combined With Endovascular Repair for Abdominal Aortic Aneurysm With Complicated Neck
作者:
许太福 李祺熠 苏奕明 魏立春 张科 罗长志 侯培勇**
（广西医科大学第四附属医院柳州市工人医院血管介入外科，柳州545005）
Author(s):
Xu Taifu;  Li Qiyi;  Su Yiming;  et al.
Department of Vascular Surgery, Liuzhou Workers Hospital, Fourth Affiliated Hospital of Guangxi Medical University, Liuzhou 545005, China
关键词:
复杂瘤颈; 腹主动脉瘤; 纤维蛋白粘合剂; 腔内修补; 内漏
Keywords:
Complicated neck; Abdominal aortic aneurysm; Fibrin adhesive; Endovascular repair; Endoleak
文献标志码:
A
摘要:
目的探讨纤维蛋白粘合剂瘤腔内注射联合腔内修补术治疗复杂瘤颈腹主动脉瘤的疗效。方法回顾性分析2017年7月~2018年3月应用纤维蛋白粘合剂瘤腔内注射联合腔内修补术治疗9例复杂瘤颈腹主动脉瘤的临床资料。其中短瘤颈（≤1 cm）2例，瘤颈扭曲（角度>60°）8例，桶状瘤颈2例，严重钙化2例，附壁血栓1例。结果9例均完成手术，其中1例术中出现Ⅰ型内漏，密切随访2个月，内漏消失，无需手术干预；其他8例随访3~12个月，平均7.2月，未见内漏、支架移位、感染及异位栓塞等并发症。结论纤维蛋白粘合剂瘤腔内注射联合腔内修补术治疗复杂瘤颈腹主动脉瘤是安全、有效的。
Abstract:
ObjectiveTo investigate the efficacy of fibrin adhesive intracavity injection combined with endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) with complicated neck.Methods From July 2017 to March 2018, clinical data of 9 cases of AAA with complicated neck undergoing fibrin adhesive intracavity injection combined with EVAR were retrospectively analyzed. There were 2 cases of short neck (≤1 cm), 8 cases of neck distortion (angle >60°), 2 cases of barrel neck, 2 cases of severe calcification, and 1 case of wall thrombus. ResultsSurgeries were successfully completed in all the 9 cases. One patient had type Ⅰendoleak during the operation, and was closely followed up for 2 months, during which the endoleak disappeared without surgical intervention. The other 8 cases were followed up for 3-12 months, with an average of 7.2 months. No endoleak, stent displacement, infection or complications such as ectopic embolization happened.ConclusionFibrin adhesive intracavity injection combined with EVAR is a safe and effective treatment for AAA with complicated neck.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：广西壮族自治区卫生和计划生育委员会自筹经费科研课题（Z20180518）**通讯作者，Email：hpy623@163.com
更新日期/Last Update: 2019-06-04