Yuan C, Wu Q, Wang S
Beijing Anzhen Hospital, Beijing.
Zhonghua Wai Ke Za Zhi. 1996 Jul;34(7):388-90.
Juxta-renal abdominal aortic occlusion is a relatively rare disease. We have treated 27 patients (25 males and 2 females) since 1984. Operations were performed on 25 patients, of whom 4 died and 84% improved. The main etiology was aorto-iliac stenosis or occlusion due to atherosclerosis and Takayasu's arteritis. Diagnostic basis included ischemia of lower limbs, pulselessness of abdominal aorta and both femoral arteries, sexual dysfunction, and positive result of angiography. Effective control of aorta below the left renal vein, aortotomy and retrograde endarterectomy were the main operative procedures. Axillo-bifemoral arterial bypass is recommended for patients associated with multiple diseases. The operative result is determined by associated diseases and the condition of run-off vessel. Associated diseases directly affect the mortality rate.
肾旁腹主动脉闭塞是一种相对罕见的疾病。自1984年以来，我们共治疗了27例患者（25例男性，2例女性）。对25例患者进行了手术，其中4例死亡，84%的患者病情改善。主要病因是动脉粥样硬化和大动脉炎导致的主-髂动脉狭窄或闭塞。诊断依据包括下肢缺血、腹主动脉及双侧股动脉搏动消失、性功能障碍以及血管造影阳性结果。主要手术方式为有效控制左肾静脉以下的主动脉、主动脉切开及逆行内膜切除术。对于合并多种疾病的患者，建议行腋-双股动脉旁路移植术。手术结果取决于合并疾病及流出道血管状况。合并疾病直接影响死亡率。
