摘要目的 评价开放手术及腔内隔绝术治疗内脏动脉瘤的疗效.方法 回顾性分析我中心2001年1月至2011年1月收治93例内脏动脉瘤患者的相关临床资料.其中男47例,女46例；平均年龄(49±13)岁；脾动脉瘤45例,肠系膜上动脉瘤15例,肾动脉瘤10例,肝总动脉瘤7例,腹腔干动脉瘤11例,胃十二指肠动脉瘤5例.通过综合评估患者开放手术风险程度、瘤体位置及形态决定治疗方式.结果 93例中,开放手术34例,围手术期死亡1例,并发症18例,占52.9％；腔内手术59例,围手术期无死亡,并发症8例,占13.6％.随访时间11个月至10年,平均36.8个月.开放手术组1年及5年生存率分别为100％及60.6％,腔内治疗组1年及5年生存率100％及84.5％.结论 与开放手术相比,腔内隔绝术治疗内脏动脉瘤手术时间及住院时间短,围手术期并发症发生率低,长期生存率满意.

abstractsObjective To evaluate open and endovascular procedures for the treatment of visceral arterial naeurysms.Methods Clinical data of 93 cases were reviewed from Jan 2001 to Jan 2011,including 47 males,and 46 females.Splenic artery aneurysm in 45 cases,superior mesenteric artery aneurysm in 15 cases,renal artery aneurysms in 10 cases,common hepatic artery aneurysm in 7,celiac artery aneurysms in 11 and gastroduodenal artery aneurysm in 5 cases.All cases had either open procedures or endovascular procedures after comprehensive evaluation.Results Surgical open procedures were performed on 34 cases,and endovascular procedures were performed on 59 cases.The perioperative complication rate were 52.9％ and 13.6％ for open and endovascular groups respectively.The mean follow-up time was 36.8 months ( 11 months to 10 years).1 -year survival rate and 5-year survival rate were 100％and 60.6％ in open surgery group,compared with 100％ and 84.5％ in endovascular group.Conclusions Endovascular repair is effective for visceral artery aneurysm with lower perioperative complication rate and better long-term survival rate.