总结腔内隔绝术治疗髂动脉瘤的经验。

回顾性分析2013年8月—2016年12月在我院接受腔内支架修复术治疗的6例髂动脉瘤患者的临床资料。

6例腔内技术均取得成功。术中未发生瘤体破裂，无患者死亡。术后即刻数字减影血管造影显示动脉瘤消失，远近端支架型人工血管与宿主动脉结合处均未见明显渗漏。1例患者出现臀肌间歇性跛行，保守治疗后症状改善；1例患者出现会阴区疼痛，给予镇痛治疗后症状缓解；1例患者术后支架内血栓形成，经置管溶栓后获得再通。术后平均随访12个月（3~24个月），瘤体无增大，支架无移位，无内瘘。

使用腔内隔绝技术可有效治疗髂动脉瘤，其近期效果满意，远期效果需进一步随访。

To summarize the experiences of endovascular treatment for iliac artery aneurysms (IAA) .

The clinical data of six patients who underwent endovascular stent-grafts placement in Department of Interventional Radiology, The First Affiliate Hospital of Guangxi University of Chinese Medicine from Augest 2013 to December 2016 were retrospectively analyzed.

All procedures were successfully completed. No aneurysm rupture or death occurred during operation. Aortography carried out immediately after the procedure showed that the IAA was completely excluded by stent-grafts and there was no serious endoleak both on proximal or distal connections. One case showed gluteal claudication, which was improved after conservative treatment, one case complained perineal pain, which was relieved after analgesic therapy and one case had intra-stent thrombosis after endovascular repair, which was recanalized using catheter-directed thrombolysis. All patients were followed up for an average of 12 months (3 to 24 months) by computed tomography angiography, without aneurysms enlargement, stent-grafts migration, or endoleak observed.

Endovascular exclusion is effective for IAA. The short-term results are satisfactory but the long-term patency needs follow-up.