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目的:总结孤立性腹主动脉夹层的临床特点和腔内治疗经验。方法:回顾性分析北京大学人民医院自2012年3月至2015年9月,收治的9例孤立性腹主动脉夹层患者病例资料,1例保守治疗,8例行腔内治疗。其中I型3例,行假腔栓塞治疗,II型5例,行腹主动脉覆膜支架腔内修复术治疗。结果:一期技术成功率100%,所有腔内治疗的患者夹层假腔均消失。术后患者腹痛症状消失,1例患者术后10个月发现假腔再次显影,再次行栓塞治疗后假腔消失。结论:孤立性腹主动脉夹层是一种临床少见但高危疾病,腔内治疗封闭夹层破口并闭合假腔,是治疗腹主动脉夹层的一种安全、有效的方法。
Objective: To summarize the clinical features and experience of endovascular treatment of solitary abdominal aortic dissection. Methods: A retrospective analysis of Peking University People’s Hospital from March 2012 to September 2015, 9 cases of patients with isolated abdominal aortic dissection cases, 1 case of conservative treatment, 8 cases of endovascular treatment. Of which type I in 3 cases, the treatment of embolization false lumen, 5 cases of type II, abdominal aortic stent graft endovascular treatment. Results: The first-phase technical success rate was 100%. All the false-lumen patients in the endovascular treatment disappeared. The symptoms of abdominal pain disappeared in the patients after operation. One patient found the false lumen to develop again 10 months after operation, and the false lumen disappeared after embolization. Conclusion: Solitary abdominal aortic dissection is a rare clinical but high risk disease. Endovascular treatment of closed dissection and closed false lumen is a safe and effective method for the treatment of abdominal aortic dissection.