摘要
目的 通过分析Stanford B型主动脉夹层腔内修复术中腹腔肝动脉以及肠系膜上动脉血管灌注以探讨主动脉夹层腔内修复术中分支血管灌注不良分型的应用及其临床意义研究.方法 选择2017年1月至2018年12月,我院StanfordB型主动脉夹层患者180例(腹腔肝动脉血管灌注100例,肠系膜上动脉80例)作为研究对象,采用随机数字表法将患者分为对照组和观察组.对照组患者采用常规治疗,观察组患者采用Stanford B型主动脉夹层腔内修复术.比较两组患者治疗5、10、15d后治疗效果评分以及患者术后病情复发状况.结果 腹腔肝动脉血管灌注中观察组患者治疗5、10、15d后治疗效果评分显著高于对照组(P<0.05);肠系膜上动脉中观察组患者治疗5、10、15d后治疗效果评分显著高于对照组(P<0.05);腹腔肝动脉血管灌注中术后观察组患者病情复发状况显著低于对照组(P<0.05),肠系膜上动脉中观察组患者病情复发状况显著低于对照组(P<0.05).结论 主动脉夹层腔内修复术中分支血管灌注不良分型的应用及其临床的研究,有助于了解主动脉夹层腔内修复术中分支血管灌注不良分型的治疗效果,值得推广应用.
Objective To investigate the application and clinical significance of branch vascular perfbsion dyspepsia in aortic dissection repair by analyzing peritoneal hepatic artery and superior mesenteric artery perfusion in Stanford type B aortic dissection repair. Methods From January 2017 to December 2018, 180 patients with Stanford type B aortic dissection in m y hospital (100 cases with peritoneal hepatic artery perfusion and 80 cases with superior mesenteric artery) were selected as study subjects. Patients were divided into control group and observation group by r andom n u m b e r table. Patients in the control group received conventional treatment, while patients in the observation group received Stanford type B aortic dissection intracavitary repair. T h e scores of treatment effect and postoperative recurrence of patients in the two groups were compared after treatment for 5, 10, 15 days. Results After treatment for 5, 10 and 15 days, the therapeutic effect score of the observation group was significantly higher than that of the control group (P<0.05). After treatment for 5, 10, 15 days, the treatment effect score of the observation group w a s significantly higher than that of the control group (P<0.05 ). During and after peritoneal hepatic artery perfusion, the recurrence of patients in the observation group was significantly lower than that in the control group (P < 0.05) and the recurrence of patients in the observation group of superior mesenteric artery was significantly lower than that in the control group (P < 0.05). Conclusion The application and clinical study of the classification of branch dyspepsia in aortic dissection lumen repair are helpful to understand the therapeutic effect of the classification of branch dyspepsia in aortic dissection lumen repair, which is worth popularizing.
作者
樊孝文
郑翼德
余永忠
卢勇
徐韶飞
谭永辉
FAN Xiao-wen;ZHENG Yi-de;YU Yong-zhong;LU Yong;XU Shao-fei;TAN Yong-hui(Department of Vascular Surgery, the First People's Hospital of Chenzhou, Chenzhou 423000, China)
出处
《中国心血管病研究》
CAS
2019年第9期802-804,840,共4页
Chinese Journal of Cardiovascular Research
关键词
主动脉夹层腔内修复术
腹腔肝动脉
肠系膜上动脉
血管灌注
临床意义
治疗效果
Aortic dissection lumen repair
Celiac hepatic artery
Superior mesenteric artery
Vascular perfusion
Clinical significance
Treatment effect
