中国实用外科杂志2018，Vol.38Issue(1)：114-117,4.DOI:10.19538/j.cjps.issn1005-2208.2018.01.26
脾动脉瘤12例治疗方式选择及疗效分析
Treatment of splenic artery aneurysm: report of 12 cases
任家书 1马秀现 1王志伟 1李健 1黄向上1
作者信息
- 1. 郑州大学第一附属医院,河南郑州450052
- 折叠
摘要
Abstract
Objective To investigate the method and effect of splenic artery aneurysm treatment.Methods The clinical data of 12 patients with splenic artery aneurysms treated in the First Affiliated Hospital of Zhengzhou University from Apr.2014 to Jul.2016 were retrospectively analyzed.All patients were diagnosed by ultrasound,enhanced CT or CTA before surgery,The size and character of the splenic artery aneurysm,the diameter of the splenic artery,the position and shape of the splenic artery and the size of the aneurysm neck were evaluated.The treatment was selected according to the preoperative imaging findings.All patients were followed up for 3 months to 3 years,and the imaging was reviewed for ultrasound or abdominal CT.Results Of the 12 patients,11 were prepared for interventional treatment.One case of the tumor was found to be huge,close to the opening of the celiac axis,and had blood vessels from the superior mesenteric artery.So we gave up the interventional treatment and switched to surgical treatment.The other 10 cases were treated with interventional therapy.The other 1 cases had surgical indications and selected direct surgical treatment.All of the operations were successful.All patients were followed up,during which no death or other severe complications occurs.Conclusion Interventional therapy is the first choice for splenic artery aneurysm.It has the characteristics of safety,minimally invasive and effective.But surgical treatment is still the best treatment for some splenic artery aneurysm.关键词
脾动脉瘤/介入治疗/手术Key words
splenic artery aneurysm/interventional therapy/surgery分类
医药卫生引用本文复制引用
任家书,马秀现,王志伟,李健,黄向上..脾动脉瘤12例治疗方式选择及疗效分析[J].中国实用外科杂志,2018,38(1):114-117,4.
