Desiron Q, Detry O, Sakalihasan N, Defraigne J O, Limet R
Department of Cardiovascular Surgery, Centre Hospitalier Universitaire de Liège, Belgium.
Ann Vasc Surg. 1995;9 Suppl:S62-6. doi: 10.1016/s0890-5096(06)60453-6.
Atherosclerotic aneurysms limited to the iliac arteries are rare and entail a high risk of rupture. To evaluate the efficacy of prophylactic surgery, we retrospectively studied 15 patients (13 men and two women; mean age 69 years) treated for isolated iliac aneurysms in the Department of Cardiovascular Surgery at the University Hospital of Liège over a period of 18 years. They had a total of 25 aneurysms (20 common iliac and five internal iliac). Six patients were treated electively and nine on an emergency basis for rupture. Five of the emergency patients (33%) died in the early postoperative period (< 30 days); in each case the aneurysm had ruptured and an emergency operation was performed (55.5% mortality in the ruptured iliac aneurysm group). On the other hand, all patients treated electively survived. Our study is comparable to other recent series in the literature, which also reported a high incidence of rupture and death in emergency operations. Prophylactic elective surgery is recommended for iliac aneurysms.
局限于髂动脉的动脉粥样硬化性动脉瘤较为罕见，且破裂风险很高。为评估预防性手术的疗效，我们回顾性研究了18年间在列日大学医院心血管外科接受孤立性髂动脉瘤治疗的15例患者（13例男性和2例女性；平均年龄69岁）。他们共有25个动脉瘤（20个髂总动脉瘤和5个髂内动脉瘤）。6例患者接受择期治疗，9例因动脉瘤破裂接受急诊治疗。5例急诊患者（33%）在术后早期（<30天）死亡；每例患者的动脉瘤均已破裂并接受了急诊手术（髂动脉瘤破裂组的死亡率为55.5%）。另一方面，所有接受择期治疗的患者均存活。我们的研究与文献中其他近期系列研究相当，这些研究也报告了急诊手术中破裂和死亡的高发生率。对于髂动脉瘤，建议进行预防性择期手术。
