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目的:探讨腹主动脉瘤的病因、诊断及手术时机的选择、术后并发症和腹主动脉瘤破裂的原因。 方法 :对 15例腹主动脉瘤进行了手术切除 ,根据病变部位的不同 ,采用不同的方式 ,采取直或分叉人造血管移植重建血管。结果 :15例中选择性手术 12例 ,腹主动脉瘤破裂 3例 ,紧急手术抢救成功 1例 ,术中死亡 2例。术后第 3天急性肾衰死亡 1例 ,急性心肌梗死死亡 1例。 11例随访 6个月～ 15年。 1年后再次置换人造血管 ,术后第 3年死亡 1例 ,术后 10年死亡 1例 ,生存 9例 ,其中 1例右下肢供血不足。结论:采用人造血管置换手术是治疗腹主动脉瘤的唯一有效的方法 ,可纠正血管的形态 ,使血管通畅 ,提高患者生活质量 ,并防止腹主动脉瘤突然破裂而致死亡
Objective: To investigate the etiology, diagnosis, timing of surgery, complications and abdominal aortic aneurysm rupture of abdominal aortic aneurysm. Methods: Fifteen cases of abdominal aortic aneurysm were surgically removed. According to the different parts of the lesion, different ways were adopted to reconstruct blood vessels by straight or bifurcated artificial vascular grafts. Results: Of the 15 cases, 12 were selective surgery, 3 cases were ruptured abdominal aortic aneurysm, 1 was successfully treated by emergency operation and 2 died during operation. One died of acute renal failure on the third day after operation, and one died of acute myocardial infarction. Eleven patients were followed up for 6 months to 15 years. One year later, the artificial blood vessel was replaced again. One patient died in the third year after operation, and one patient died in 10 years after operation. Nine patients survived, of which one patient suffered from insufficient blood supply to the right lower extremity. CONCLUSION: Artificial vascular replacement surgery is the only effective method for the treatment of abdominal aortic aneurysm, which can correct the morphology of blood vessels, make the blood vessels unobstructed and improve the quality of life of patients, and prevent sudden rupture of abdominal aortic aneurysms and death