摘要
目的 探讨Stanford B型主动脉夹层远端破口的分布特点及其临床分型方法.方法 对新疆维吾尔自治区人民医院2010年1月-2013年6月收治的Stanford B型主动脉夹层患者的计算机断层血管造影资料进行回顾分析,观察其远端破口的分布位置并统计远端破口的数量,进而总结远端破口的分布特点并进一步提出远端破口的临床分型方法.结果 共查阅115例Stanford B型主动脉夹层患者的计算机断层血管造影资料,其中有101例合并有远端破口（87.83％）,共计有240个远端破口,平均2.37个/例.结论 Stanford B型主动脉夹层远端破口好发于累及内脏动脉区域,提出Stanford B型主动脉夹层远端破口的分型方法,即：Ⅰ型：内脏动脉以上破口;Ⅱ型：累及内脏动脉的破口;Ⅲ型：肾下腹主动脉破口;Ⅳ型：髂动脉破口.
Objective To explore the distribution characteristics and clinical typing methods in distal crevasses of Stanford B aortic dissection.Methods Review of the cases in the People＆#39;s Hospital of Xinjiang Urgur Autonomous Region from 2010 January to 2013 June were diagnosis of Stanford type B aortic dissection with computed tomographic angiography data,Observed its distal crevasses distribution and statistical its number,then summarizes the distribution characteristics of the distal crevasses and further put forward a method of clinical typing.Results Refer to 115 cases with Stanford type B aortic dissection computed tomographic angiography data,including 101 cases with distal crevasses （87.83%） and a total of 240 distal crevasses,an average of 2.37 per case.Conclusions The distal crevasses more often appear in the area involving visceral artery,combined with its different in distribution characteristics and processing methods,we put forward the classification method,namely：Type Ⅰ：the distal crevasses are located in the zone of the thoracic artery; Type Ⅱ：the distal crevasses are close to the visceral artery or involvement it; Type Ⅲ：the distal crevasses are lower than the renal artery,not involving the visceral artery; Type Ⅳ：the distal crevasses are located in the zone of the iliac artery.
出处
《国际外科学杂志》
2014年第12期824-826,F0003,共4页
International Journal of Surgery
基金
基金项目：新疆维吾尔自治区科技支撑计划项目（No.201333106）
关键词
主动脉
夹层
远端破口
临床分型
血管造影术
Aorta
Dissection
Distal crevasses
Clinical classification
Angiography
