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首页 > 期刊列表 > Stanford_B型主动脉夹层121例血管腔内修复短中期结果分析
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标题: Stanford_B型主动脉夹层121例血管腔内修复短中期结果分析
摘要:

目的:研究腔内修复术治疗主动脉夹层的临床价值。 方法:对121例Stanford B型主动脉夹层血管腔内修复的短中期结果进行回顾性分析。从2001年1月至2006年12月,我们共对121例Stanford B型主动脉夹层患者施行了血管腔内修复术,其中男113例,女8例;年龄30~79岁,平均年龄56.7岁。急性期夹层(从发病至手术间隔≤7 d)35例,亚急性期夹层(从发病至手术间隔8~30 d)57例,慢性期夹层(发病至手术间隔>30 d)29例。 结果:即时手术成功率100%,住院并发症发生率27.3%,其中神经系统并发症发生率3.3%,术后内漏发生率15.7%。住院死亡率4.1%,其中急性期夹层死亡率2.9%,亚急性期夹层0.0%,慢性期夹层13.8%。108例患者获随访(93.1%),平均随访17.5(1~67)个月。随访工具为CTA,结果显示假腔内完全血栓形成44.3%,部分血栓形成55.7%。随访期间死亡率2.8%。 结论:腔内修复术治疗Stanford B型主动脉夹层的短中期结果显示,它是一种微创、安全而且有效的方法,其长期疗效仍有待进一步观察。

英文摘要: Objective:To evaluate the early and midterm outcomes of endovascular repair of Stanford type B aortic dissection(BAD). Methods:Patients with BAD were studied retrospectively following the endovascular repair. Between January 2001 and December 2006, 121 patients (males=113, females=8) with BAD were treated with endovascular repair. The mean age of the patients (30 years to 79 years) was 56.7years. Among them, 35 patients had acute BAD (the interval between onset and surgery≤7 days), 57 patients had subacute BAD (the interval between onset and surgery was from 8 days to 30 days) and 29 patients had chronic BAD (the interval between onset and surgery>30 days). Results:The technical success rate was 100%. The rate of endoleak revealed within 30 days was 6.0% and neurologic complication rate was 3.3%. The overall mortality rate within 30 days was 4.1%, the mortality of acute BAD, subacute BAD and chronic BAD was 2.9%, 0%, and 13.8%, respectively. The follow-up rate was 93.1%. Mean follow-up was 17.5 months (1 to 67 months). By using CTA, complete thrombosis in false lumen was revealed in 44.3% of patients, while partial thrombosis was revealed in 55.7% of patients. The mortality during follow-up was 2.8%. Conclusions:According to the early and midterm results, endovascular repair of BAD is a microinvasive, safe and effective treatment. However, the long-term efficacy still needs to be evaluated.
作者:

常光其;李晓曦;伍淑文;李松奇;姚陈;李梓伦;王深明

作者单位:
期刊: 中华普通外科学文献(电子版)
年.卷(期):页码 2009 .3(5):387-391
中图分类号:
文章编号:
引用格式: [1]常光其;李晓曦;伍淑文;李松奇;姚陈;李梓伦;王深明.Stanford_B型主动脉夹层121例血管腔内修复短中期结果分析[J/CD].中华普通外科学文献(电子版),2009,3(5):387-391.
关键词: 动脉瘤,夹层;血管腔内修复;带膜支架
英文关键词: Aneurysm, dissecting; Endovascular repair; Stent-graft

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