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目的 观察腔内隔绝术治疗腹主动脉瘤的临床疗效及探讨并发症的防治原则。方法 采用TALENT带膜支架腔内隔绝术治疗 3例高龄腹主动脉瘤患者 ,年龄均超过 75岁 ,且伴有其他脏器疾病。结果 所有患者腹主动脉瘤体成功隔绝 ,技术成功率达 10 0 % ,无中转外科手术 ,无瘤体破裂等严重并发症 ,无围手术期死亡。术后 3～ 6个月螺旋CT随访 ,瘤体均见血栓形成 ,无支架移位及明显内漏等并发症发生。结论 腔内隔绝术治疗腹主动脉瘤具有技术可靠、创伤小、术后恢复快、成功率高等优点 ,尤其适用不能耐受传统开腹手术的老年高危患者
Objective To observe the clinical efficacy of endovascular exclusion in the treatment of abdominal aortic aneurysm and to explore the principles of prevention and treatment of complications. Methods TALENT stent-graft endovascular treatment of 3 cases of elderly patients with abdominal aortic aneurysm, more than 75 years of age, and associated with other organ diseases. Results All patients successfully isolated abdominal aortic aneurysm, the technical success rate of 100%, no transfer surgery, no tumor rupture and other serious complications, no perioperative deaths. Spiral CT was followed up 3 to 6 months after operation. Thrombosis was found in the tumor, and no complications such as stent displacement and significant endoleak occurred. Conclusion Endovascular graft exclusion for the treatment of abdominal aortic aneurysm has the advantages of reliable technique, small trauma, rapid postoperative recovery, high success rate, especially for elderly high-risk patients who can not tolerate conventional laparotomy