| 血管腔内修复术治疗主动脉夹层动脉瘤 |
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| 引用本文： | 凌庆,温定国,汪涛,赵萍.血管腔内修复术治疗主动脉夹层动脉瘤[J].中国医师杂志,2005,7(10):1334-1335. |
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| 作者姓名： | 凌庆 温定国 汪涛 赵萍 |
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| 作者单位： | 广东省深圳市人民医院,暨南大学医学院附属二院心外科,广东,深圳,518020 |
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| 摘 要： | 目的 探讨血管腔内修复术治疗主动脉夹层动脉瘤的手术指征，术前评估方法、手术操作技巧、并发症防治原则及临床应用前景。方法 对26例行Stanford-B型主动脉夹层动脉瘤腔内修复术患者的临床资料进行分析。全组均为Stanford-B型，其中4例在不同部位有2个以上裂口，术前采用CT血管造影（CTA）或数字减影（DSA）时主动脉夹层动脉瘤进行评估全组均以带膜支架型人工血管在DSA下行腔内修复术。结果 带膜支架型人工血管成功值入26例（100%）术后随访1-18月，无并发症，无内漏，夹层消失。结论 血管腔内修复术治疗Stanford-B型夹层动脉瘤是一种创伤小、恢复快、安全而有效的方法。
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| 关 键 词： | 动脉瘤 人工血管 腔内修复术 夹层 主动脉夹层动脉瘤 支架型人工血管 治疗 手术操作技巧 临床应用前景 CT血管造影 |
| 收稿时间： | 2004-12-07 |
| 修稿时间： | 2004年12月7日 |
Endovascular Repair on Aortic Dissecting Aneurysm |
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| LING Qing, WEN Ding-guo, WANG Tao,et al..Endovascular Repair on Aortic Dissecting Aneurysm[J].Journal of Chinese Physician,2005,7(10):1334-1335. |
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| Authors: | LING Qing WEN Ding-guo WANG Tao |
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| Institution: | Department of Heart Surgery, The Second Affiliated Hospital of Jiman University Medieal College, Shenzhen 518020, China |
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| Abstract: | Objective To explore the operational indications, preoperative evaluation,operative essentials and clinical prospect of endovascular repair(EVR) for aortic dissection.Methods Twenty-six patients underwent EVR for aortic dissection and all cases were Stanford B dissection.Four patients had two or more tear entries in different sites.Computed tomography angiography(CTA) or digital subtraction angiography(DSA) were used as preoperative evaluation methods.Results The grafts were installed successfully in 26 patients(100%).The patients were followed up for 1 to 18 months after treatment,and there was no endoleaks and organ or limb ischemia in all the patients.Conclusion Endovascular repair was simple,safe and effective in treating aortic dissection and dissecting aneurysm. |
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| Keywords: | Anenrysm Blood vessel prosthesis Endovasenlar repair Dissecting |
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