Stanford A型主动脉夹层的外科诊治  

Surgical treatment of type Stanford A aortic dissection

作　　者：李军[1] 邱阳[1] 杨康[1] 刘铭[1] 廖克龙[1] 曾会昌[1] 王明荣[1] 

机构地区：[1]第三军医大学西南医院胸心外科,重庆400038

出　　处：《重庆医学》2008年第4期340-341,344,共3页Chongqing medicine

摘　　要：目的总结Stanford A型主动脉夹层外科诊治经验。方法2001年1月～2007年2月15例Stanford A型主动脉夹层患者接受了外科手术。男12例，女3例；年龄36～72岁，平均48．7岁。施行经典Bentall手术6例，Bentall加半弓置换手术3例，Bentall加全弓置换手术1例，Bentall加全弓置换加象鼻手术1例。施行Wheat手术4例。结果手术死亡2例，死亡率13．33％。其余患者均痊愈出院，治痊好转率86．67％。结论Stanford A型主动脉夹层的外科治疗能够在以快速准确的诊断、个体化的外科策略和手术方法、精确的手术技术为保证的条件下安全进行。Objective To summarize the surgical experience of treating type Stanford A aortic dissection. Methods From January 2001 to Feburary 2007,15 patients with type A aortic dissection underwent surgical treatment. The operative procedures included Bentall operation in 6 cases, Bentall operation combined with hemi-arch grafting in 3 cases, Bentall operation combined with total-arch grafting in 1 cases, Bentall operation combined with total-arch grafting and elephant trunk implanting in 1 cases,and Wheat op eration in 2 cases. Results There was 2 cases of intraoperative death with a mortality rate of 13.33%. Others were cured and left the hospital with a improvement rate of 86.67 %. Conelusion The key factors for success in the surgery of aortic dissection are rapid and accurate diagnosis, proper surgical indication, specific surgical strategy and precise surgical technic.

关 键 词：主动脉夹层 外科 诊断 治疗 

分 类 号：R654.3[医药卫生—外科学] R543.16[医药卫生—临床医学]