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目的评价介入治疗腹腔内脏动脉瘤的安全性和疗效。方法用介入技术治疗腹腔内脏动脉瘤11例,包括脾动脉瘤5例,胃-十二指肠动脉瘤5例,肠系膜上动脉(SMA)瘤1例。5例以假性动脉瘤破裂出血就诊,3例表现为上腹部疼痛和搏动性包块,3例无自觉症状。10例用血管内栓塞术,1例发自SMA的动脉瘤用联合动脉内栓塞和被覆膜支架置入术治疗。结果11例均治疗成功,无并发症。5例以出血为首发症状者,术后出血立即停止。1例SMA动脉瘤术后被完全封闭,主干及分支显影正常。3例术前有症状者术后腹痛逐渐消失、包块缩小。随访4～52个月(平均25.5个月),未发生与动脉瘤相关的并发症,超声波检查无动脉瘤复发表现。结论血管内介入技术是治疗腹腔内脏动脉瘤的安全有效方法。
Objective To evaluate the safety and efficacy of interventional treatment of visceral visceral aneurysms. Methods 11 cases of abdominal visceral aneurysm were treated with interventional techniques, including 5 cases of splenic aneurysm, 5 cases of gastro-duodenal aneurysm and 1 case of superior mesenteric artery (SMA). 5 cases were treated with pseudo aneurysm rupture, 3 cases showed upper abdominal pain and pulsatile mass, and 3 cases had no symptoms. Ten patients were treated with endovascular embolization and one patient with SMA was treated with intra-arterial embolization and stent-graft. Results 11 cases were successfully treated without complications. 5 cases of bleeding as the first symptom, bleeding immediately stop. One case of SMA aneurysm was completely closed after operation, and the trunk and branches developed normally. 3 cases of preoperative symptomatic abdominal pain disappeared gradually, mass shrinkage. All cases were followed up for 4 ~ 52 months (average 25.5 months). No complications related to aneurysm occurred. Ultrasound showed no recurrence of aneurysm. Conclusion Endovascular interventional technique is a safe and effective method for the treatment of visceral aneurysm.