带膜支架治疗Stanford B型胸主动脉夹层的经验探讨  

Clinical Experience and Study on the Treatment of Thoracic Aortic Dissecting Aneurysm (Stanford B Type) with Endovascular Stent

作　　者：王家平[1] 杨达宽[1] 闫东[1] 李迎春[1] 袁曙光[1] 张志田[1] 杨青[1] 郭立[1] 龚颖娜[1] 韩正林[1] 童玉云[1] 

机构地区：[1]昆明医学院第二附属医院放射科,昆明650101

出　　处：《放射学实践》2007年第3期289-291,共3页Radiologic Practice

摘　　要：目的：探讨Stanford B型胸主动脉夹层（TAD）腔内隔绝术一些经验。方法：回顾性分析我院2002年-2005年全麻下行腔内隔绝术的36例Stanford B型胸主动脉夹层患者的资料。结果：所有患者均成功实行了带膜支架腔内隔绝术,未出现死亡现象,内漏9例,右股动脉切开处内膜撕裂3例。结论：带膜支架置入术治疗Stanford B型胸主动脉夹层是一种安全有效的方法,但术中术后并发症的预防是成功的关键。Objective：To explore the experience of the application of endovascular stent in treating thoracic aortic dissecting aneurysm. Methods：The materials of 36 cases of Stanford B type thoracic aortic dissecting aneurysm treated in our hospital from 2002 to 2005 with endovascular stent isolation and general anaethesia techniques were retrospectively studied. Results：Endovascular isolation technique with stent was successfully performed in all the cases without a death due to the risky procedure. Endovascular leaks in 9 cases and intimal tears of the right femoral arteries at the incision sites in 3 cases were found. Conclusion：Endovascular stent isolation technique was a safe and efficient means for treating Stanford B type thoracic aortic dissecting aneurysms, however, prevention of ＂on-operation＂ and post-operative complications was also the key point of success.

关 键 词：支架 动脉瘤 夹层 手术后 并发症 放射学 介入性 

分 类 号：R654.3[医药卫生—外科学]