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浙江大学学报（医学版）
浙江大学学报（医学版）  2018, Vol. 47 Issue (6): 601-605    DOI: 10.3785/j.issn.1008-9292.2018.12.06
专题报道     
血管内治疗肝总-脾-肠系膜上动脉共干合并肝总-脾动脉干动脉瘤一例
沈洋(),张锐利,陈光,李飞,褚海伟,胡斌,赵文军*()
温州医科大学附属浙江省台州医院血管外科, 浙江 台州 317000
One case of hepatosplenic artery aneurysm with hepato-splenomesenteric trunk and literature review
SHEN Yang(),ZHANG Ruili,CHEN Guang,LI Fei,CHU Haiwei,HU Bin,ZHAO Wenjun*()
Department of Vascular Surgery, Taizhou Hospital of Zhejiang Province, Wenzhou Medical University, Taizhou 317000, Zhejiang Province, China
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摘要：

一例无症状71岁女性患者因"体检发现内脏动脉瘤7 d"入院。胸腹主动脉CT血管造影提示肝总-脾动脉干真性动脉瘤合并肝总-脾-肠系膜上动脉共干畸形。患者肝总-脾动脉干真性动脉瘤瘤体大（直径约为28 mm）并紧贴肠系膜上动脉起始部，动脉瘤颈宽（直径为5.5~6.0 mm）且短（近端锚定区长度约为2.0 mm）。患者接受了肝总-脾动脉干血管内重建、动脉瘤弹簧圈栓塞、支架隔绝等血管内治疗后恢复良好。
关键词： 动脉瘤/外科学;  血管内治疗;  病例报告    
Abstract:

An asymptomatic 71-year-old woman was admitted to the hospital due to aneurysm of visceral artery. CT angiography revealed that she possessed a hepatosplenic artery aneurysm with hepatosplenomesenteric trunk anomaly. The aneurysm was big with diameter about 28 mm, and is very adjacent to the superior mensenteric artery. The neck of the aneurysm is wide (the diameter of the neck was 5.5-6.0 mm) and short (length of the proximal landing zone was about 2.0 mm). The patient received endovascular reconstruction of the hepatosplenic artery and coil embolization of the aneurysm, and got satisfactory result.
Key words: Aneurysm/surgery    Endovascular treatment    Case reports
收稿日期: 2018-08-14 出版日期: 2019-03-15
:  R654  
基金资助: 台州市科技计划(1701KY01)
通讯作者: 赵文军     E-mail: shenyangaiss@163.com;tzzhaowj@163.com
作者简介: 沈洋(1988-), 男, 硕士, 主治医师, 主要从事血管外科疾病研究; E-mail:shenyangaiss@163.com; https://orcid.org/0000-0003-0682-4935
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沈洋
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胡斌
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引用本文:

沈洋,张锐利,陈光,李飞,褚海伟,胡斌,赵文军. 血管内治疗肝总-脾-肠系膜上动脉共干合并肝总-脾动脉干动脉瘤一例[J]. 浙江大学学报（医学版）, 2018, 47(6): 601-605.

SHEN Yang,ZHANG Ruili,CHEN Guang,LI Fei,CHU Haiwei,HU Bin,ZHAO Wenjun. One case of hepatosplenic artery aneurysm with hepato-splenomesenteric trunk and literature review. J Zhejiang Univ (Med Sci), 2018, 47(6): 601-605.

链接本文:

http://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.2018.12.06    或    http://www.zjujournals.com/med/CN/Y2018/V47/I6/601

图 1  患者术前CT血管造影图像
图 2  患者肝总-脾动脉干动脉瘤的解剖学数据
图 3  腔内治疗肝总-脾-肠系膜上动脉共干合并肝总-脾动脉干动脉瘤患者手术过程造影图像
图 4  患者血管内治疗后4个月CT血管造影图像
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