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巨大肾动脉动脉瘤破裂的外科治疗——病例报告及文献综述

Surgical treatment of a ruptured giant renal artery aneurysm--case report and literature review.

作者信息

Paruzel Krzysztof, Krakowczyk Lukasz, Oleś Bolesław

机构信息

Department of General and Vascular Surgery, SP ZOZ Municipal Specialistic Hospital in Rybnik.

出版信息

Pol Przegl Chir. 2011 Jun;83(6):343-6. doi: 10.2478/v10035-011-0053-1.

Abstract

Renal artery aneurysms are the second most common visceral artery aneurysms after splenic artery aneurysms, and before hepatic artery aneurysms. The study presented a case of a ruptured giant right renal artery aneurysm in a female patient. The presented case is worth mentioning, due to the giant size of the lesion. The diameter of the aneurysm exceeded 10 cm. Available literature data mentioned single reports of such large aneurysms located in the renal arteries. In spite of the fact that renal artery aneurysms are the second most common visceral artery aneurysms, their management is accompanied by some controversy. Literature data mentioned the dominance of endovascular techniques. However, surgical treatment remains to be the most effective and radical method.

摘要

肾动脉动脉瘤是继脾动脉动脉瘤之后、肝动脉动脉瘤之前第二常见的内脏动脉动脉瘤。该研究报告了一例女性患者巨大右肾动脉动脉瘤破裂的病例。鉴于该病变的巨大尺寸,此病例值得一提。动脉瘤直径超过10厘米。现有文献数据提及了关于位于肾动脉的如此大的动脉瘤的个别报道。尽管肾动脉动脉瘤是第二常见的内脏动脉动脉瘤,但其治疗仍存在一些争议。文献数据提到血管内技术占主导地位。然而,手术治疗仍然是最有效和最彻底的方法。

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