中国实用外科杂志 ›› 2012, Vol. 32 ›› Issue (12): 991-994.

• 专题笔谈 • 上一篇    下一篇

腹主动脉瘤腔内治疗的合理应用和技术要点

符伟国,李永生,王玉琦   

  1. 复旦大学附属中山医院血管外科,上海200032
  • 出版日期:2012-12-01 发布日期:2012-11-29

  • Online:2012-12-01 Published:2012-11-29

摘要:

腔内修复术具有对病人全身状况要求低、创伤小、术中失血少、术后恢复快和病人住院时间短等优点,拓宽了手术适应范围,使原来许多不能解决的问题得到很好的处理,已逐渐成为治疗腹主动脉瘤的主要手段。但仍需合理把握腔内修复术适应证、排查禁忌证并注重病人的意愿。随着临床腔内手术病例数的增加,常常遇到一些难以解决的实际问题,这需要不断地经验积累、体悟各技术要点,通过材料改进及技术进步加以完善。

关键词: 腹主动脉瘤, 腔内修复术, 技术要点

Abstract:

Reasonable option and technical points of endovascular aortic repair        FU Wei-guo,LI Yong-sheng,WANG Yu-qi. Department of Vascular Surgery, Zhongshan Hospital,  Fudan University, Shanghai 200032, China
Corresponding author:FU Wei-guo,E-mail:fu.weiguo@zs-hospital.sh.cn
Abstract    Endovascular aortic repair has become the main therapeutic means of abdominal aortic aneurysm gradually. It has many advantages, such as lower requirements on the patient's general condition, less blood loss and trauma, faster postoperative recovery and shorter hospitalization time, widen the scope of operation and solved a lot of problems that they were still difficulties originally. However, it still needs  reasonable choice of the indications, the investigation of contraindication, and focusing on the patient's wishes. Along with the increasing in the number of clinical cases of endovascular surgery, some practical difficult problems have been encountered to solve, which need to accumulate experiences continuously, understand the technical points, through material improvements and technological advances to be perfect.

Key words: abdominal aortic aneurysm, endovascular aortic repair, technical points