论文部分内容阅读
目的：探讨孤立性髂动脉瘤的病因及诊治的特殊性。方法：回顾性分析从１９６４ 年４ 月至１９９９ 年２ 月我院收治的２５例孤立性髂动脉瘤的临床诊治资料。结果：本组２５ 例患者，其中１９ 例行动脉瘤切除后对端吻合、自体大隐静脉或人造血管间置移植术，髂动脉结扎１ 例，瘤体囊内修补１例。另４ 例未行手术治疗。本组无手术死亡。结论：早期瘤体切除术后自体大隐静脉间置移植手术是治疗的首选方法，微创性腔内隔绝术对老年、巨大瘤体患者值得推荐
Objective: To explore the etiology, diagnosis and treatment of solitary iliac artery aneurysms. Methods: We retrospectively analyzed the clinical diagnosis and treatment data of 25 cases of isolated radial iliac artery aneurysms treated in our hospital from April 1964 to February 1999. Results: In this group of 25 patients, 19 of them underwent anastomosis after the resection of the aneurysm, autogenous great saphenous vein or interbody graft placement, radial artery ligation in 1 case, and intratumoral repair in 1 case. The other 4 cases were not treated surgically. There were no operative deaths in this group. Conclusion: Autologous saphenous vein interbody transplantation is the first choice for treatment after early tumor resection. Minimally invasive endovascular exclusion is recommended for elderly and giant tumor patients.