腹主动脉瘤腔内修复术后瘤体直径及体积变化的随访研究

来源期刊：广州医药 | 34-39 发布时间：2023-10-12 收稿时间：2025/11/13 18:30:50 阅读量：34

作者：: 钟林堃,

李昶,

刘池拽,

张明光,

何瑜,

谭力,

师天雄,

缪健航,

王折存,

关键词：: 腹主动脉瘤腔内修复术瘤体体积瘤体直径内漏; abdominal aortic aneurysm endovascular aneurysm repair aneurysm volume aneurysm diameter endoleak

DOI：: 10.3969/j.issn.1000-8535.2023.09.006

收稿时间：: 2023-02-10
修订日期：
接收日期：
引用总数：: 0

目的探讨腹主动脉瘤腔内修复术后瘤体直径和瘤体体积的转归以及与术后内漏的关系。方法回顾性分析2015年—2020年在我院行腹主动脉瘤腔内修复术的83例患者的临床及影像学资料。测量术前和术后各随访时间点瘤体最大直径及体积。CT评价术后内漏发生情况。定义瘤体（直径/体积）扩张/回缩及瘤体（直径/体积）稳定。以术前瘤体最大直径大小和术后内漏发生情况将患者分组,比较组间各随访时点的瘤体直径和体积转归情况。结果患者术后平均随访时间24（10~62）个月。以瘤体直径<50 mm及≥50 mm分组,术后各随访时间点2组间瘤体体积及瘤体直径比较均无统计学差异。以术后有无内漏分组,术后各随访时间点组间比较瘤体体积变化比较差异均有统计学意义（P<0.05）,但瘤体直径变化组间比较差异均无统计学意义。结论主动脉瘤瘤体体积与直径变化并不存在一致性,监测瘤体体积可以发现那些直径变化不明显的瘤体变化;腹主动脉瘤腔内修复术后内漏可能是导致瘤体增大的因素之一。

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