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目的评估血管内治疗内脏动脉瘤的疗效。方法采用血管内介入技术治疗内脏动脉瘤24例,包括脾动脉瘤8例、肝动脉瘤5例、胃十二指肠动脉瘤5例、肠系膜上动脉瘤2例、肾动脉瘤3例和子宫动脉瘤1例。其中21例动脉瘤进行弹簧圈栓塞治疗,3例用覆膜支架植入术治疗。结果内脏动脉瘤血管内治疗均获得成功,技术成功率为100%。21例动脉瘤栓塞后,供血动脉完全闭塞,动脉瘤未显影。2例肠系膜上动脉和1例肾动脉主干动脉瘤被覆膜支架完全隔绝,肠系膜上动脉及肾动脉血流通畅。14例有出血症状者13例术后迅速停止出血,1例肝动脉假性动脉瘤进行3次栓塞后最终止血。1例脾动脉瘤栓塞后出现部分脾梗塞,未发生与介入治疗操作有关的并发症。术后随访22例,随访3～60个月,无动脉瘤复发表现。结论血管内介入技术治疗内脏动脉瘤是安全有效的。
Objective To evaluate the efficacy of endovascular treatment of visceral aneurysms. Methods Twenty-four visceral aneurysms were treated with endovascular interventional techniques, including 8 cases of splenic aneurysm, 5 cases of hepatic aneurysm, 5 cases of gastroduodenal aneurysm, 2 cases of superior mesenteric artery aneurysm, 3 cases of renal aneurysm, Aneurysm in 1 case. Twenty-one aneurysms were treated with coil embolization and three with stent-graft. Results Endovascular treatment of visceral aneurysms were successful, with a technical success rate of 100%. 21 cases of aneurysm embolization, complete occlusion of the feeding artery, aneurysm was not developed. 2 cases of superior mesenteric artery and 1 case of renal artery aneurysm were completely isolated stent graft, superior mesenteric artery and renal artery blood flow. Thirteen patients with bleeding symptoms stopped bleeding immediately after operation, and one of the hepatic artery pseudoaneurysms performed the final hemostasis after three embolizations. One splenic infarction occurred after embolization of splenic aneurysm, and no complication related to interventional treatment was found. Twenty-two patients were followed up for 3 to 60 months with no recurrence of aneurysm. Conclusion Endovascular interventional treatment of visceral aneurysms is safe and effective.