目的交流腹主動脈瘤的診斷和外科治療方法。方法對1991年2月至2002年7月我院外科治療的30例腎下型腹主動脈瘤的臨床資料進行回顧性分析。結(jié)果數(shù)字減影血管造影術(shù)診斷1例，MRI診斷2例，其余27例均經(jīng)CT確診。該30例中，腹主動脈瘤破裂6例，行急診手術(shù)，死亡2例（死亡率33.3%）； 24例未破裂者中， 22例行腹主動脈瘤切除和原位人造血管移植術(shù)，術(shù)后死亡2例（死亡率9.1%），另2例行腹主動脈瘤腔內(nèi)人造血管移植術(shù)。結(jié)論及早術(shù)前診斷，恰當(dāng)?shù)剡x擇手術(shù)時機、手術(shù)方式及正確的圍手術(shù)期處理是提高手術(shù)成功率，減少術(shù)后并發(fā)癥和死亡率的關(guān)鍵。
引用本文： 陳國玉,楊宏宇,章希煒,夏建國,楊力. 30例腹主動脈瘤的外科診療結(jié)果分析. 中國普外基礎(chǔ)與臨床雜志, 2003, 10(4): 386-387. doi: 復(fù)制
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