主动脉夹层治疗51例临床分析

目的 评价不同治疗方法对主动脉夹层预后的影响。方法 对51例主动脉夹层患者分别进行药物、手术及支架植入治疗，观察疗效并随访。结果 药物治疗组成活26例(70．3％)，死亡11例(29．7％)；手术治疗组治愈4例(44．4％)，死亡5例(55．6％)；支架治疗组治愈4例，无效l例。结论 对于A型夹层，手术优于药物治疗；支架治疗B型夹层治愈率高，创伤小，并发症少。

Clinical analysis of 51 cases of aortic dissection.

OBJECTIVE: To evaluate the effects of different treatments on the prognosis of aortic dissection. METHOD: Different treatment modalities including drug therapy, surgical resection and stent implantation were performed in 37, 9, and 5 cases of aortic dissection (AD) respectively, and the clinical outcome of the patients was observed during the follow-up study. RESULTS: The survival rate in drug therapy group was 70.3% (26) while death occurred in 11 cases (29.7%). Four (44.4%) of the nine cases were cured surgically, leaving a mortality of 55.6%. Stent implantation yielded cures in 4 cases, with death occurring in 1 case, and complications arose in none of the cases. CONCLUSION: Surgical resection is superior to drug therapy in the treatment of type A AD cases, while stent implantation should be the first choice for type B AD cases for causing less complications and injuries and resulting in high cure rate.