[1]李好鹏,于志海,王海涛,等.介入治疗孤立性腹腔干夹层4例[J].介入放射学杂志,2020,29(02):182-185.
　LI Haopeng,YU Zhihai,WANG Haitao,et al.Interventional treatment for isolated celiac artery dissection: preliminary results in 4 patients[J].journal interventional radiology,2020,29(02):182-185.
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介入治疗孤立性腹腔干夹层4例()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年02
页码:
182-185
栏目:
临床研究
出版日期:
2020-03-14

文章信息/Info

Title:
Interventional treatment for isolated celiac artery dissection: preliminary results in 4 patients
作者:
李好鹏; 于志海; 王海涛; 涂灿; 陆彬
Author(s):
LI Haopeng;  YU Zhihai;  WANG Haitao;  TU Can;  LU Bin.
Department of Medial Imaging, Ningbo Women and Children’s Hospital, Ningbo, Zhejiang Province 315012, China
关键词:
【关键词】　夹层; 动脉瘤; 腹腔干; 影像学特征; 支架植入术
文献标志码:
A
摘要:
【摘要】　目的?探讨介入治疗孤立性腹腔干夹层（IDCA）的效果和安全性。方法?回顾性分析
4例IDCA患者临床和影像学资料。根据孙捷等IDCA分型，Ⅱa型2例，Ⅲb型2例，均因内科保守治疗效果不佳接受介入治疗。2例Ⅱa型患者于腹腔干植入裸支架或覆膜支架1枚，2例Ⅲb型患者于腹腔干及分支内植入覆膜支架和裸支架各1枚。术后给予低分子肝素抗凝3 d，口服氯吡格雷。结果?4例患者手术均成功，术后1周腹痛症状消失，未发生围手术期出血、感染、夹层破裂等并发症。随访6～27个月，4例腹痛症状均未复发，支架均通畅；1例支架移位，3例支架位置良好。结论?支架植入术治疗IDCA安全有效。对低风险IDCA患者首选保守治疗，保守治疗效果不佳者宜选择介入治疗。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：2018-02-27）
（本文编辑：边?佶）
更新日期/Last Update: 2020-03-13