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目的探讨腹腔干动脉瘤(CAA)血管腔内治疗方法。方法回顾性分析2011年6月至2015年12月共16例连续的CAA患者腔内介入治疗情况。11例单纯弹簧圈栓塞术,4例弹簧圈栓塞加覆膜支架植入术,1例多层裸支架植入术。术后第3、6、12个月及之后每年随访复查CTA,记录并评价围手术期和随访期临床结果指标。结果手术技术成功率为100%。平均手术时间(91.56±39.30)min,平均住院时间(5.25±1.44)d。所有患者术后均经规律随访1~54个月,总生存率100%,CTA复查未发现弹簧圈异位、支架移位,瘤体增大、破裂或再通。结论血管腔内治疗CAA技术成功率高,并发症发生率、死亡率低,是一种安全有效的治疗方法。
Objective To investigate the intracavitary treatment of intracavitary aneurysm (CAA). Methods A total of 16 consecutive CAA patients undergoing endovascular interventional therapy from June 2011 to December 2015 were retrospectively analyzed. Eleven patients underwent simple coil embolization, 4 patients underwent coil embolization plus stent-graft, and 1 patient underwent multi-layer bare stent implantation. CTA was performed at 3, 6, 12 months after operation and every year after follow-up. The clinical outcomes of perioperative and follow-up were recorded and evaluated. Results The success rate of surgical technique was 100%. The average operation time (91.56 ± 39.30) min, the average length of stay (5.25 ± 1.44) d. All patients were followed up regularly for 1 ~ 54 months, the overall survival rate was 100%. CTA examination found no coil ectopic, stent displacement, tumor enlargement, rupture or recanalization. Conclusion Endovascular treatment of CAA has high success rate, low complication rate and mortality, which is a safe and effective treatment.