[1]许永乐,熊江,郭伟,等.孤立性肠系膜上动脉夹层的治疗策略[J].介入放射学杂志,2010,(09):694-697.
　XU Yongle,XIONG Jiang,GUO Wei,et al.Therapeutic strategy for the treatment of isolated spontaneous dissection of superior mesenteric arteries[J].journal interventional radiology,2010,(09):694-697.
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孤立性肠系膜上动脉夹层的治疗策略()

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

卷:
期数:
2010年09期
页码:
694-697
栏目:
血管介入
出版日期:
2010-09-15

文章信息/Info

Title:
Therapeutic strategy for the treatment of isolated spontaneous dissection of superior mesenteric arteries
作者:
许永乐; 熊江; 郭伟; 刘小平; 刘蒙
100853  北京 解放军总医院血管外科
Author(s):
XU Yong－le; XIONG Jiang; GUO Wei; LIU Xiao－ping; LIU Meng．
Department of Vascular Surgery，General Hospital of PLA，Beijing１００８５３，China Corresponding author：GUO Wei，E－mail：pla３０１dml@vip．sina．Com
关键词:
肠系膜上动脉; 夹层; 孤立性; 治疗
分类号:
R５４３.５
文献标志码:
A
摘要:
目的探讨孤立性肠系膜上动脉（SMA）夹层的治疗方法及方法选择的依据。方法回顾性分析我院２００７年１月至２０１０年２月诊治的１０例SMA夹层患者的临床资料并随访。按是否发生肠缺血坏死和（或）SMA破裂分为单纯型和复杂型，探讨各型夹层的治疗方法及预后。结果９例患者属单纯型，保守治疗后腹痛好转，其中５例患者未予抗凝治疗。１例属复杂型，保守治疗腹痛不缓解，采用开放手术行血管重建，术后腹痛缓解。结论随着CTA和DSA的广泛应用，越来越多孤立性SMA夹层得以确诊。多数SMA夹层患者，尤其是单纯型，保守治疗可取得良好的近期效果，甚至不需要抗凝治疗；复杂型患者，往往需要包括开放手术在内的血管重建术才能取得好的近期效果。

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期：２０１０－０６－０４
更新日期/Last Update: 2010-09-15