两例复杂的动脉动脉瘤经过脏自移植治疗
Ariana Marie Martin1, Mauricio Gonzalez-Urquijo1, Francisca Castillo-Amulef1
1Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Vascular
|May 2, 2025
概括
复杂的动脉动脉瘤 (RAA) 在两名患者中使用脏自移植成功治疗. 这种手术方法为复杂的RAA提供了一个可行的选择,长期保持功能.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 复杂的动脉动脉瘤 (RAA) 带来了重大的外科手术挑战.
- 位于主要动脉分叉之外的RAA可能难以进行传统的手术修复.
研究的目的:
- 报告使用脏自移植进行复杂RAA的手术治疗.
- 为了评估这项技术在两个患者的结果.
主要方法:
- 15年来经过自身移植治疗的两例病例的回顾性审查.
- laparoscopic nephrectomy, ex vivo 动脉瘤切除与重建,并将其自体移植到下腔.
主要成果:
- 患者1:在治疗25毫米RAA和纤维肌力发育不良后,11年的随访显示出正常的功能和移植通透性.
- 患者2:经过3年的随访,在治疗50.2毫米RAA和结石病后,无症状状态和正常的功能.
结论:
- 活体自身移植是复杂RAA的可接受的外科选择.
- 这种技术特别适用于位于主要动脉分叉之外的动脉瘤.
- 成功的结局证明了长期的功能保护和移植活力.
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