论文部分内容阅读
目的探讨介入腔内治疗在肠系膜上动脉夹层的应用及其临床疗效。方法对行介入腔内治疗的6例肠系膜上动脉夹层患者临床资料进行回顾性分析,6例患者均经CTA及动脉造影证实为肠系膜上动脉夹层,2例行裸支架置入,1例行置管溶栓后裸支架置入,1例行裸支架置入结合弹簧圈栓塞治疗,2例行腹膜支架置入。结果经介入腔内治疗的6例患者临床症状较术前明显缓解,其中行置管溶栓后裸支架置入患者饮食后有间断腹部疼痛不适。无肠坏死,破裂出血及围手术期死亡患者。结论介入腔内治疗为治疗肠系膜上动脉夹层有效的方法,微创、安全、效果确切,可根据病例具体情况选择运用。
Objective To investigate the application of interventional intracavitary therapy in superior mesenteric artery dissection and its clinical efficacy. Methods The clinical data of 6 patients with superior mesenteric artery dissection treated by endovascular therapy were retrospectively analyzed. Six patients were confirmed as superior mesenteric artery dissection by CTA and arteriography, two patients were treated with bare stent, After stent thrombolysis, a bare stent was inserted. One patient underwent open stent embolization with coil spring embolization, and 2 patients underwent peritoneal stent placement. Results The clinical symptoms of the 6 patients treated with endovascular therapy were significantly relieved compared with those before surgery. Among them, the patients with intermittent abdominal pain discomfort after implantation of bare stent in the patients underwent catheter thrombolysis. No intestinal necrosis, ruptured bleeding and perioperative deaths. Conclusion Interventional intraluminal therapy for the treatment of superior mesenteric artery dissection effective method, minimally invasive, safe, the exact effect, according to the specific circumstances of the case choose to use.