孤立性髂动脉瘤分型及诊治进展

王梦佳; 庆开雄; 赵凌峰

孤立性髂动脉瘤分型及诊治进展

昆明医科大学第一附属医院血管外科，云南昆明　650032

基金项目: 国家科学自然基金（81760092）

详细信息

作者简介:
王梦佳（1997～），女，新疆哈密人，在读硕士研究生，主要从事周围血管疾病研究工作

通讯作者:
赵凌峰，E-mail：Lingfeng2009@139.com

中图分类号: R654.3
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- 文章访问数: 14
- HTML全文浏览量: 9
- PDF下载量: 1
- 被引次数: 0
出版历程
- 收稿日期: 2024-05-23

Classification and Treatment of Solitary Iliac Artery Aneurysms

Department of Vascular Surgery，The First Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650032，China

摘要

摘要: 孤立性髂动脉瘤是临床上罕见的疾病，其起病隐匿，一旦破裂，救治困难，死亡率极高。因此，发现疾病并对其进行合适分型和选择适宜治疗方案极为重要。近年来，腔内治疗逐渐替代传统开腹手术已经成为一线治疗方案，少部分学者提出可根据动脉瘤的解剖形态、影像学检查等将孤立性髂动脉瘤进行临床分型，以便更好的选择合适的腔内治疗方案。因此，回顾现有已发表的文献，对孤立性髂动脉瘤的治疗进展及对现有学者提出的分型进行综述。
- 孤立性髂动脉瘤 /
- 腔内治疗 /
- 支架
Abstract: Solitay iliac aneurysms are a rare clinical condition characterized by insidious onset. Once they rupture, treatment becomes difficult, and the mortality rate is extremely high. Therefore, it is extremely important to detect the disease, classify it appropriately and select appropriate treatment options. In recent years, endovascular treatment has gradually replaced traditional laparotomy as the first-line therapeutic approach. Some scholars have proposed clinical classification of isolated iliac aneurysms based on anatomical morphology and imaging studies to better select appropriate endovascular treatment strategies. This review aims to summarize the treatment advancements for solitary iliac aneurysms and the classifications proposed by existing scholars based on the published literature.
- Solitary iliac artery aneurysm /
- Endovascular treatment /
- Stent

HTML全文

图 1 四型^[8]

Ⅰ型：仅累及髂总动脉；Ⅱ型：仅累及髂内动脉；Ⅲ型：同时累及髂总及髂外动脉；IV型：累及髂总及髂外及髂内动脉。

Figure 1. Four types^[8]

下载: 全尺寸图片幻灯片

图 2 单侧IIAA分型示意图^[9]

1A型：近、远端均有合适的锚定区；1B型：近端有合适的锚定区，远端无；1C型：近端无合适的锚定区，远端有；1D型：近、远端均无合适锚定区。

Figure 2. Schematic diagram of unilateral IIAA classification^[9]

下载: 全尺寸图片幻灯片

图 3 双侧IIAA分型示意图^[9]

2A型：双侧近、远端均有合适的锚定区；2B型：双侧近端均有合适的锚定区，1侧远端有合适的锚定区，1侧无；2C型：双侧近端均有合适的锚定区，远端均无；2D型：1侧或双侧近端无合适的锚定区，但至少1侧远端有合适的锚定区；2E型：1侧或双侧近端无合适的锚定区，双侧远端均无合适的锚定区。

Figure 3. Schematic Diagram of Bilateral IIAA Classification^[9]

下载: 全尺寸图片幻灯片

图 4 五型七类^[10]

A 型：近、远端均有合适锚定区；B 型：近端有合适的 CIA 锚定区，但远端没有；C 型：远端有合适锚定区，近端没有；D 型：近、远端均没有合适的锚定区；E 型：继发于先前开放或血管内修复的IIAA，分为以下三类：E1：行支架术后的同侧髂动脉扩张的IIAA；E2：行腔内治疗后，在已栓塞的髂内动脉同侧髂动脉扩张的IIAA；E3：先前行腹主动脉瘤开放重建后的“吻合口旁”的IIAA。

Figure 4. Five types and seven categories^[10]

下载: 全尺寸图片幻灯片

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