目的：总结本院胸腹主动脉瘤诊治经验并结合国内外文献，探讨胸腹主动脉瘤治疗进展及脊髓保护方法。 方法：本院自2003年至2008年共收治胸腹主动脉瘤11例，其中男性10例，女性1例，平均年龄54.5岁(26-73岁)，接受手术7例，总结7例手术病人手术方式及术后死亡率及并发症发生率。 结果：7例手术均成功完成，无1例早期死亡，仅1例于术后40天因心衰放弃治疗。术后并发症发生率85.7%，截瘫发生率为14.3%，未出现急性肾功能不全需要透析或急性胰腺炎或肠坏死等消化道并发症。 结论：本院胸腹主动脉瘤诊治均取得较满意的治疗效果。通过阅读国内外文献，对胸腹主动脉瘤治疗进展及脊髓保护进行综述。 【关键词】主动脉瘤；治疗；脊髓保护

 Objective: To report our experience on the dia gnosis and treatment of Thoracoabdominal aortic a neurysm (TAAA), discuss its development of treatment and spinal cord protection with a review of rela tive literature. Methods: Retrospectively analyzed the clinical data of 11 TAAA cases from 2003 to 2008 in our d epartment. 10 male patients and 1 female patient, mean age was 54.5 years old ( 26-73 years old) . 7 patients were treated with operations。 Results: Seven procedures were performed succe ssfully, non operative mortality occurred but onl y one patient gave up treatment for cardiac compl ications. Total complications rate was 85.7% and only one patient had postoperative paraplegia. Conclusions:Our treatment of thoracoabdominal aortic aneurysm seems to obtain satisfactory resu lts. [Key words] Thoracoabdominal aortic aneurysm(T AAA); Treatment; Spinal cord protection