腹主动脉瘤伴发疝及肺气肿的临床观察

• 作 者: 曲乐丰 景在平 曹贵松
• 机 构: 第二军医大学长海医院血管外科,第二军医大学长海医院血管外科,第二军医大学长海医院血管外科
• 出 处: 中华普通外科杂志
• 发表日期: 1999年06期
• 关键词: 腹主动脉瘤 结缔组织疾病 临床观察 双侧疝 复发疝 病因学 腘动脉 主动脉壁 弹力蛋白酶 股疝

目的　探讨腹主动脉瘤（ａｂｄｏｍｉｎａｌａｏｒｔｉｃ ａｎｅｕｒｙｓｍ ，ＡＡＡ）与疝和肺气肿之间的相互关系，对其病因学提供新的认识。 方法　回顾性分析了我院１９８９ 年１ 月至１９９８ 年６ 月收治的６１ 例ＡＡＡ患者伴发疝及肺气肿的情况。 结果　６１ 例ＡＡＡ 患者中１８ 例（３０％ ） 合并有疝或疝手术史，２４ 例（４０ ％） 合并有肺气肿，１２ 例（２０％ ）同时合并有疝及肺气肿。 结论　全身性结缔组织的功能退化可能是ＡＡＡ及疝和肺气肿形成的共同病理基础，而ＡＡＡ和疝及肺气肿则是这种变化在不同组织器官不同阶段的具体表现

Objective To investigate the relationship between abdominal aortic aneurysm (AAA) and hernia and emphysema, and to provide a new understanding of its etiology. Methods A retrospective analysis of 61 cases of AAA patients admitted to our hospital from January 1989 to June 1998 was associated with paralysis and emphysema. Results Of the 61 AAA patients, 18 (30%) had a history of orbital fistula or fistula surgery, 24 (40%) had emphysema, and 12 (20%) had concurrent hemorrhoids and emphysema. Conclusions The functional deterioration of systemic connective tissue may be the common pathological basis for the formation of AAA and sputum and emphysema, while AAA and sputum and emphysema are the specific manifestations of this change at different stages of different tissues and organs.