文章摘要

腹主动脉瘤合并马蹄肾的外科治疗：要点与难点

作者: 1杨春卿, 1胡海地, 1张健, 1辛世杰
1 中国医科大学附属第一医院 血管甲状腺外科，辽宁 沈阳 110001
通讯: 胡海地 Email: hu_haidi@hotmail.com
DOI: 10.3978/.10.3978/j.issn.1005-6947.2015.06.021
基金: 国家自然科学基金资助项目, 30200276

摘要

腹主动脉瘤（AAA）合并马蹄肾（HSK）是一种罕见疾病。外科治疗需首要考虑肾脏的异常解剖，包括HSK 峡部骑跨瘤体，以及起源于腹主动脉的副肾动脉等。目前的治疗方法有开放手术（经腹或腹膜后）、腔内修复术及杂交手术，但3 种手术方法应用的适应证、具体处理方式尚未统一。笔者总结分析AAA 合并HSK 外科治疗要点与难点，以为临床实践提供参考。
关键词： 主动脉瘤，腹/ 外科学 泌尿生殖系统畸形；综述文献

Surgical treatment of abdominal aortic aneurysm associated with horseshoe kidney: essentials and difficulties

Authors: 1YANG Chunqing, 1HU Haidi, 1ZHANG Jian, 1XIN Shijie
1 Department of Vascular and Thyroid Surgery, the First Hospital, China Medical University, Shenyang 110001, China

CorrespondingAuthor:HU Haidi Email: hu_haidi@hotmail.com

Abstract

Abdominal aortic aneurysm (AAA) with concomitant horseshoe kidney (HSK) is a rare clinical entity. Special consideration to the abnormal anatomy of the kidney, such as the isthmus of the HSK straddling the aneurysm and the accessory renal arteries originating from the abdominal aorta, should be taken during its surgical treatment. Current treatment methods include open surgery (transabdominal or retroperitoneal), endovascular repair and hybrid surgery. But the indications and specific technical approach for those procedures remain inconclusive. In this paper, the authors present and analyze the essentials and difficulties in surgical treatment of this condition, so as to provide a reference for clinical practice.
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