“杂交技术”治疗复杂主动脉病变的效果  

"HYBRID TECHNIQUE" IN THE TREATMENT OF COMPLEX AORTIC DISEASE

作　　者：黄强[1] 徐平[1] 郝传吉[1] 李筱琴[1] 高洪波[1] 李贞福[1] 

机构地区：[1]青岛大学医学院附属医院心血管外科,山东青岛266003

出　　处：《齐鲁医学杂志》2008年第5期403-405,407,共4页Medical Journal of Qilu

摘　　要：目的探讨＂杂交技术＂——主动脉人工血管替换并降主动脉覆膜支架置入术治疗复杂主动脉病变的效果。方法2007年2-12月,采用术中支架系统（Micro-Port CRONUS）分别为7例主动脉夹层分离、主动脉瘤以及主动脉瘤并发主动脉夹层的病人实施了＂杂交技术＂治疗。结果1例肾衰竭,自动出院。6例复查CTA显示升主动脉及主动脉弓部人工血管无扭曲、狭窄,血流通畅,带支架人工血管位置良好,降主动脉真腔较术前明显扩大,无内漏,假腔血栓形成无血流,痊愈出院。随访4~25个月,无复发。结论应用＂杂交技术＂治疗复杂主动脉病变方法简单,疗效可靠,并发症少,具有良好的应用前景。Objective To evaluate the experience of ＂hybrid technique＂ in the treatment of complex aortic diseases. Methods From February to December 2007, seven patients with aortic dissection and aortic aneurysm or combined lesions were performed by ＂hybrid technique＂ ascending aortic prosthesis replacement plus descending aortic stent-grafting by using Micro-Port CRONUSTM. Results One patient with renal failure discharged voluntarily, six patients had CTA examination two weeks after surgery. There were no torsion, stenosis and occlusion in the prosthesis. Stent-grafts were in good position. No leakage exsisted. True lumen of descending aorta was enlarged significantly and no blood current in false lumen was found. No recurrence occurred during 4--25 month follow-up. Conclusion ＂Hybrid technique＂ seems to be an effective, safe, reliable and simple method in curing complex aortic disease.

关 键 词：动脉瘤 夹层 主动脉瘤 心脏外科手术 放射学 介入性 

分 类 号：R654.31[医药卫生—外科学]