腹主动脉瘤腔内修复术中髂内动脉的处理Management of hypogastric artery in endovascular repair of abdominal aortic aneurysm
张佳,郭伟,刘小平,尹太,贾鑫,张宏鹏
摘要(Abstract)：
目的总结肾下腹主动脉瘤腔内修复术中的髂内动脉的处理方法。方法自1997年7月至2007年3月实施的腔内修复术中有62例肾下腹主动脉瘤涉及髂内动脉的处理。其中C型腹主动脉瘤57例(包括单侧髂总动脉分叉受累者35例,双侧髂总动脉分叉受累者22例),髂总动脉分叉过高5例。手术方法采用髂内动脉单纯覆盖、髂内动脉栓塞并覆盖、髂内动脉重建,针对具体的病变情况,采用不同的组合处理方法。结果无中转开腹手术,手术结束时6例(9.7%)Ⅰ型内漏。术后出现臀肌跛行5例(8.1%)、单侧下肢麻木1例(1.6%),无褥疮及结、直肠坏死表现。结论腔内修复术中保留一侧髂内动脉是合理的,尽可能避免同时破坏双侧髂内动脉。
关键词(KeyWords)： 主动脉瘤,腹;血管成形术;血管假体植入;髂内动脉
基金项目(Foundation):
作者(Author): 张佳,郭伟,刘小平,尹太,贾鑫,张宏鹏
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