内支架置入术治疗胸腹主动脉瘤的临床评价

目的：探讨胸腹主动脉瘤的ESG治疗临床疗效。方法：对10例患者分别行CTA、MRA、DSA检查和ESG治疗，其中Stanford B型夹层动脉瘤6例，真性腹主动脉瘤2例，肾动脉开口以下腹主动脉瘤2例（行分体式支架），所有病例均采用带膜支架。结果：8例行一体式支架腔内隔绝术，2例行分体式支架腔内隔绝术，均获成功。顺利植入，术后造影提示动脉瘤消失．无内漏发生。患者症状完全消失，全部患者在随访期间均未出现术前症状，未见相关并发症。结论：应用ESG治疗胸腹主动脉瘤安全、有效、创伤小、术后恢复快，长期疗效尚待进一步观察。

Evaluation of clinic for endovascular stent grafting treatment the thoracic aortic dissection and abdominai aortic aneurysm

Objective: Discussed the curative effect of clinic of the thoracic aortic dissections(TAD) and abdominal aortic aneurysm(AAA) with the endovascular stent grafting(ESG).Methods: Ten cases sufferer had examined with CTA,MRA,DSA and ESG.All cases with the Stanford B was 6 cases and AAA was 4 cases.the covered stent was performed in all cases.Results: Without exception succeed in 8 cases with singletype endovascular stent graft exclusion and 2 cases with fission endovascular stent graft exclusion,aneurysm was disappeared in DSA and symptom was dispeled completely and no accident related to the dissection and operation occurred.Conclusion: Endovascular graft exclusion may be a safe and effective treatment for TAD and AAA,further follow is necessary to evaluate its long-term effect.