Rehring T F, Brewster D C, Kaufman J A, Fan C M, Geller S C
Division of Vascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Ann Vasc Surg. 2001 Sep;15(5):591-3. doi: 10.1007/s10016-001-0019-6.
An inflammatory component to abdominal aortic aneurysms (AAA) is thought to occur in approximately 5% of cases. Accompanying ureteral entrapment may be involved in 20% of these. Transabdominal repair of inflammatory AAA with ureterolysis may result in increased complications. Many authorities have recommended a retroperitoneal approach to decrease dissection. Similarly, an endovascular approach has been utilized. We report here the results of a patient with an inflammatory AAA with bilateral ureteral obstruction successfully treated with endovascular stent graft repair and bilateral ureteral stents with exclusion of the aneurysm and resolution of hydronephrosis.
腹主动脉瘤（AAA）的炎症成分被认为约在5%的病例中出现。其中20%可能伴有输尿管受压。经腹行输尿管松解术修复炎症性AAA可能会导致并发症增加。许多权威人士建议采用腹膜后入路以减少解剖分离。同样，也采用了血管腔内治疗方法。我们在此报告1例炎症性AAA伴双侧输尿管梗阻患者，通过血管腔内支架植入修复术及双侧输尿管支架置入，成功排除动脉瘤并缓解肾积水的治疗结果。
