摘要
目的探讨Stanford B型主动脉夹层患者通过腔内修复术(thoracic endovascular aortic repair,TEVAR)进行治疗,对其取得的治疗安全性及有效性进行评价。方法回顾性分析2007年6月—2018年6月在该科行腔内修复术治疗的Stanford B型主动脉夹层(type B aortic dissections,TBAD)96例患者的临床资料及随访资料,术前采用 CTA对主动脉夹层进行评估,术中在 DSA 引导下采用覆膜血管支架封堵夹层破口,术后随访 CTA,观察临床治疗效果及并发症发生情况。结果该组96例患者中93例手术成功。93例患者中,出现死亡的患者有6例,其中10例患者再发主动脉夹层(其中5例死亡),2例患者发生术后出现消化道出血;患者在术后发生内漏情况有8例(1例死于主动脉食管漏)。结论腔内修复术治疗Stanford B型主动脉夹层创伤小、恢复快、并发症少、近期及远期疗效稳定。
Objective To investigate the safety and efficacy of Stanford type B aortic dissection in patients undergoing endovascular endovascular aortic repair (TEVAR). Methods The clinical data and follow-up data of 96 patients with type B aortic dissections (TBAD) treated with undergraduate endovascular repair from June 2007 to June 2018 were retrospectively analyzed. CTA was used before surgery. The aortic dissection was evaluated. The vascular stent was used to seal the dissection under the guidance of DSA. The CTA was followed up to observe the clinical treatment effect and complications. Results Of the 96 patients in this group, 93 were successfully operated. Of the 93 patients, 6 patients died, 10 had aortic dissection (5 of them died), 2 had gastrointestinal bleeding after surgery, and 8 had endoleaks after surgery (1 case died of aortic esophageal leakage). Conclusion Endovascular repair for Stanford type B aortic dissection has less trauma, quick recovery, less complications, and stable short-term and long-term results.
作者
吴小明
李强
WU Xiao-ming;LI Qiang(Department of Cardiovascular Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016 China)
出处
《系统医学》
2019年第10期76-77,80,共3页
Systems Medicine
