腔内隔绝术治疗DebakeyⅢ型主动脉夹层瘤25例分析  

Effect of Transluminal Stent-Graft Placement For DebakeyⅢ Type Aortic Dissection Aneurysm

作　　者：吴全忠[1] 黄健[1] 黄健宏[1] 徐国帆[1] 

机构地区：[1]广东省茂名市人民医院心胸外科,525000

出　　处：《中华全科医学》2009年第8期834-835,共2页Chinese Journal of General Practice

摘　　要：目的探讨腔内隔绝术治疗DebakeyⅢ型主动脉夹层瘤的手术适应证及并发症防治,提高该方法的应用水平。方法2001年1月-2008年6月,采用腔内隔绝术治疗DebakeyⅢ型主动脉夹层瘤25例。移植物经股动脉或髂动脉切口导入,至胸主动脉封闭夹层裂口,手术在全麻、数字减影血管造影(DSA)监视下完成。结果25例中23例顺利植入带膜支架,2例未获成功,围术期死亡2例。无截瘫、器官缺血和血栓形成等并发症,造影显示支架封闭主动脉破裂口,随访2～50个月,螺旋CT复查显示支架位置、形态正常,无延期内漏。结论腔内隔绝术治疗DebakeyⅢ型主动脉夹层瘤安全、有效、恢复快,具有良好的近中期疗效,可作为治疗本病的首选方法。Objective To explore the operative indication of Debakey Ⅲ type aortic dissecting aneurysm by transluminal stentgraft placement（ TSGP） and the treatment of complications. Methods TSGP was performed in 25 cases with Debakey m type aortic dissecting aneurysm from Jan. 2001 to June 2008. The self-expanded expanded polytetrafluoroethylene-covered stents were placed to close entry tears in all patients through the delivery systems introduced from the femoral or the iliac arteries. All operations were performed under general anaesthesia and guidance of digital subtraction angiography. Results Stent-grafts were placed successfully with the exception of 2 patients,2 patients died in heart failure and acute myocardial infarction. There was no postoperative aorta-related complication. At follow-up of 2-50 months, all patients were living and well. The spiral computed tomographic scans showed that the position and shape of the graft was good and endoleak was not observed. Conclusion TSGP is a safe and effective method for Dcbakey Ⅲ type aortic dissection.

关 键 词：主动脉夹层瘤 腔内隔绝术 血管内置入 

分 类 号：R654.31[医药卫生—外科学]