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覆膜支架主动脉腔内修复治疗主动脉夹层32例临床分析
引用本文:刘志平,;朱宪明,;李淑珍,;张玉龙,;赵龙,;王坚,;任杰,;郭俊晓,;黄连军. 覆膜支架主动脉腔内修复治疗主动脉夹层32例临床分析[J]. 疾病监测与控制, 2009, 0(4): 211-212
作者姓名:刘志平,  朱宪明,  李淑珍,  张玉龙,  赵龙,  王坚,  任杰,  郭俊晓,  黄连军
作者单位:[1]内蒙古医学院附属医院胸心外科,内蒙古呼和浩特010050; [2]北京阜外心血管病医院放射科,北京100037
摘    要:
目的探讨主动脉夹层腔内修复术的疗效。方法2003年11月-2008年12月,行覆膜支架腔内修复治疗主动脉夹层32例。男31例,女1例:年龄15-73岁,平均(52.31±13.81)岁。Stanford B型32例。术后随访1449个月,平均(12.92±9.82)个月,分析其临床特点及疗效。结果近端内漏1例,术后8个月复查内漏消失;术后30d内死亡1例,死于脑出血(3.1%)。其余病例恢复良好。结论覆膜支架腔内修复术是治疗主动脉夹层的有效方法,具有微创,失血量小,严重并发症少,住院时间短,术后恢复快等优点,但远期效果还有待进一步观察。

关 键 词:动脉瘤,  夹层  主动脉,    心脏外科手术

Report Of 32 Cases Of Endovascular Repair Of Aortic Dissection By Stent-Graft Implantation
Affiliation:LIU Zhi-ping, ZHU Xian-ming, LI Shu-zhen, et al. (Department of Cardiothoracic Surgery ,Affiliated Hospital, Inner Mongolia Medical College ,Huhhot 010050, China)
Abstract:
Objective To evaluate the feasibility and safety of endovascular repair of aortic dissection. Methods From Nov 2001 to Dec 2008, 32 patients with aortic dissection received endovascular repair by stent-graft implantation. There were 31 males and l females with average age of (52.31±13.81) years (15-73years). The classification included 32 Stanford B dissection. Patients were followed from 1 to 49 months, average 02.92±9.82) months. Results There were 1 type I endoleak.One patients died within 30 days after operation. The causes of death were stroke in 1(3.1%).Conclusion Early results of endovascular repair of aortic dissection were satisfactory. Interventional therapy is characterized with a high successful rate ,less invasive ,less blood loss, rare complication and low mortality rate, and it has become promising alternative therapy to surgery in most patients. Long time results were still under observation.
Keywords:Aortic   dissection: Aotic   thoracic: Cardiac surgical
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