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腹主动脉及其分支动脉瘤的外科治疗

[Surgical treatment of aneurysm of the abdominal aorta and its branches].

作者信息

Pokrovskii A V, Ermoliuk R S, Spiridonov A A, Kazanchian P O

出版信息

Kardiologiia. 1975 Dec;15(12):12-7.

PMID:1223352
Abstract

A total of 168 patients with aneurysms of the abdominal aorta and of its branches were examined, 117 of them were operated on. The leading method of surgery for abdominal aorta aneurysms consists in a resection of the aneurysm and its subsequent prosthetic repair. The choice of the operative technique for the aneurysms of the visceral branches and renal arteries depends on the localization and size of the aneurysm, on the importance of the diseased vessel in the blood supply to the digestive organs, as well as the organ which blood supply is impaired. The improvement of the operative technique and of the postoperative care of patients with abdominal aorta aneurysms helped to decrease the number of postoperative complications and the mortality in the recent years. Further improvement of the results of surgery for aneurysms of the abdominal aorta and its branches requires timely hospitalization of such patients in specialized vascular departments and further perfection of the operative technique.

摘要

共对168例腹主动脉及其分支动脉瘤患者进行了检查,其中117例接受了手术。腹主动脉瘤的主要手术方法是切除动脉瘤并随后进行人工修复。内脏分支和肾动脉动脉瘤手术技术的选择取决于动脉瘤的位置和大小、病变血管对消化器官血液供应的重要性以及血液供应受损的器官。近年来,腹主动脉瘤患者手术技术和术后护理的改进有助于减少术后并发症的数量和死亡率。要进一步提高腹主动脉及其分支动脉瘤的手术效果,需要将此类患者及时收治到专门的血管科室,并进一步完善手术技术。

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