McDermott V G, Shlansky-Goldberg R, Cope C
Department of Diagnostic Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104.
Cardiovasc Intervent Radiol. 1994 Jul-Aug;17(4):179-84. doi: 10.1007/BF00571531.
Splenic artery aneurysms and pseudoaneurysms are being diagnosed with increasing frequency by modern imaging. The question of appropriate treatment--surgical or endovascular--arises more often. We review our experience and that of others as documented in the literature. The information available suggests that endovascular management of a splenic artery aneurysm or pseudoaneurysm offers a lower complication rate than surgery, but postprocedure imaging to ensure obliteration is recommended.
现代影像学技术使脾动脉瘤和假性动脉瘤的诊断频率越来越高。关于采用手术治疗还是血管内治疗这种恰当治疗方式的问题也越来越频繁地出现。我们回顾了自身经验以及文献中记载的他人经验。现有信息表明,与手术相比,脾动脉瘤或假性动脉瘤的血管内治疗并发症发生率更低,但建议术后进行影像学检查以确保病变闭塞。