腔内修复术治疗DeBakeyⅢ型主动脉夹层动脉瘤中远期疗效评价  

Evaluation of the effect on endovascular repair of DeBakey Ⅲ aortic dissection:middle-long term follow-up results

作　　者：徐克[1] 吴瑕[1] 陈冉[1] 肖亮[1] 张曦彤[1] 辛士杰[1] 

机构地区：[1]中国医科大学附属第一医院放射科,沈阳110001

出　　处：《介入放射学杂志》2008年第8期567-569,共3页Journal of Interventional Radiology

基　　金：国家科技支撑计划课题(编号:2007BAI05B04)

摘　　要：目的探讨腔内修复术治疗DeBakeyⅢ型主动脉夹层动脉瘤的中远期疗效。方法2000年11月至2006年2月,行腔内修复术治疗DeBakeyⅢ型主动脉夹层动脉瘤56例。所有患者随访21～84个月,平均(52±8)个月,术后1周及术后每年均行螺旋CT检查,分析其临床特点及治疗效果。结果55例(98.2%)临床成功,2例(3.6%)术后出现一过性肾功能不全,术后30d内1例(1.8%)死于多器官功能衰竭,,随访期间1例(1.8%)死于脑出血。结论腔内修复术创伤小,痊愈快,并发症少,应视为DeBakeyⅢ型主动脉夹层动脉瘤的首选治疗方法。Objective To evaluate the middle-long term effects on endovascular repair of DeBakey Ⅲ aortic dissection. Methods From November 2000 to February 2006, fifty-six patients with DeBakey Ⅲ aortic dissection received endovascular repair. There were 36 males and 20 females, 35 -81 years with average age of （56.1 ± 12.2） years. Of this series, 55 patients were followed up 21 -84 months[averaged （52 ± 8.2） months] with SCT and all the acquired data were analyzed. Results The procedure was successful in 98.2% patients without serious complications. One patient（1.8%） died within 30 days postprocedure because of the failure of multiorgan function and another patient（1.8%） died from the brain bleeding during the follow-up period. Conclusions Endovascular repair of DeBakey Ⅲ aortic dissection is feasible with less invasion,faster recovery and less complications, and so it is suggested that endovascular repair is the best therapeutic means in patients with DeBakey Ⅲ aortic dissection.

关 键 词：动脉瘤 夹层 腔内修复术 疗效 

分 类 号：R543.16[医药卫生—心血管疾病]