Stanford B型主动脉夹层腔内修复术32例短中期结果分析  

The endovascular repair of Stanford type B aortic dissection:early and midterm results of 32 cases

作　　者：谭德立[1] 谭文锋[1] 杨康[1] 廖克龙[1] 张伟[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》2011年第12期1167-1168,1171,共3页Chongqing medicine

摘　　要：目的 探讨腔内修复术治疗Stanford B型主动脉夹层的经验及其安全性和有效性.方法 回顾性分析2008年12月至2010年7月在本科行腔内修复治疗的Stanford B型主动脉夹层患者32例的临床资料及随访资料.修复后观察真假腔血流动力学变化,内脏及下肢动脉供血的改变.结果 本组接受治疗者无围手术期死亡.所有患者腔内修复治疗后3～24个月随访,无移植物移位、瘤体破裂、中转开胸和截瘫等并发症发生.结论 腔内修复术治疗Stanford B型主动脉夹层的短中期结果显示,腔内修复术创伤小、痊愈快、并发症少,其远期疗效有待进一步观察.Objective To investigate the experience, safety and clinical efficacy of endovascular repair of Stanford B aortic dissection（AD）. Methods Retrospectively analyzed 32 patients with Stanford BAD underwent stent-grafts implantation from December 2008 to July 2010. The changes of hemodynamic in true and false lumen,visceral and limbs blood supply were investigated after operation. Results All patients were technically and clinically successful. Without misplace of stent grafts,rupture,conversion to open surgery and paraplegia complication in follow-up of 3-24 months. Conclusion According to the early and midterm results,endovascular repair of Stanford B aortic dissection is feasible with less invasion, faster recovery and less complications. The long term results remain to be further observed.

关 键 词：支架 主动脉夹层 腔内修复 

分 类 号：R654.3[医药卫生—外科学]