节点文献

腔内技术治疗Kommerell憩室的临床研究

Clinical study on treatment of Kommerell diverticulum with endovascular technique

  • 推荐 CAJ下载
  • PDF下载
  • 不支持迅雷等下载工具,请取消加速工具后下载。

【作者】 刘一人徐兆明齐一侠崔世军郭连瑞齐立行佟铸郭建明谷涌泉

【Author】 LIU Yiren;XU Zhaoming;QI Yixia;CUI Shijun;GUO Lianrui;QI Lixing;TONG Zhu;GUO Jianming;GU Yongquan;Department of Vascular Surgery, Xuanwu Hospital, Capital Medical University;Department of Surgery, People’s Hospital of Horqin Left Wing Houqi,Tongliao, Inner Mongolia;

【通讯作者】 谷涌泉;

【机构】 首都医科大学宣武医院血管外科内蒙古通辽市科尔沁左翼后旗人民医院外二科

【摘要】 目的探讨腔内技术治疗Kommerell憩室的可行性和安全性。方法回顾性分析首都医科大学宣武医院诊治的1例Kommerell憩室病变患者的临床资料、手术治疗过程及术后情况。结果根据Kommerell憩室不同的分型及临床症状,采取了有效的腔内治疗,成功行胸主动脉腔内覆膜支架隔绝并弹簧圈栓塞Kommerell憩室,术后主动脉血流通畅,完整隔绝瘤样病变,未发生内漏及颅内和上肢缺血。手术时间为55 min,术中出血量约为20 mL。术后第6天患者康复出院。出院后随访12个月时未发生内漏、头晕、上肢麻木等症状。结论针对不同类型Kommerell憩室及不同症状的患者,选择合适的腔内成形术可以有效治疗此类疾病,是可行且安全的。

【Abstract】 Objective To evaluate efficacy and safety of treatment of Kommerell diverticulum with endovascular technique. Method The retrospective analysis was made on the preoperative clinical data, surgical treatment, and postoperative status of patient with Kommerell diverticulum who underwent the endovascular treatment in the Department of Vascular Surgery, Xuanwu Hospital of Capital Medical University. Results According to the different types and clinical symptoms, the effective endovascular treatment was adopted. The thoracic endovascular aortic repair and coil embolization of Kommerell diverticulum were successfully performed. The postoperative aortic blood flow was unobstructed and the aneurysmal lesion was completely isolated. No endoleakage and intracranial and upper limb ischemia were occurred. The operation time was 55 min and the blood loss was 20 mL. The patient was discharged on day 6 after the operation. No endoleakage, dizziness, and upper limb numbness were found following-up for 12 months.Conclusion For patient with different types of Kommerell diverticulum and different symptoms, who could be treated by appropriate endovascular treatment and it is effective and safety.

【基金】 国家重点研发计划项目(项目编号:2017YFC1104100);首都卫生发展科研专项项目(项目编号:首发2016-1-2012);北京市医院管理局临床技术创新项目(扬帆计划)(项目编号:XMLX201610);北京市医院管理局“登峰”人才培养计划(项目编号:DFL20150801);北京市属医院科研培育计划(项目编号:PX2018035)
  • 【文献出处】 中国普外基础与临床杂志 ,Chinese Journal of Bases and Clinics in General Surgery , 编辑部邮箱 ,2019年09期
  • 【分类号】R654.3
  • 【网络出版时间】2019-08-02 13:55
  • 【被引频次】2
  • 【下载频次】70
节点文献中: 

本文链接的文献网络图示:

本文的引文网络