去分支技术联合腔内修复治疗复杂型StanfordB型主动脉夹层的疗效及预后分析  

Efficacy and prognosis of debranching technology combined endovascular repair of complex Stanford B aortic dissection

作　　者：李祥[1] 姚碧[1] 倪良春[1] 李庆臣[1] 马黎明[1] 刘高利[1] 

机构地区：[1]济宁医学院附属医院心脏外科,山东省272000

出　　处：《中华临床医师杂志（电子版）》2015年第14期58-61,共4页Chinese Journal of Clinicians(Electronic Edition)

基　　金：济宁市科技发展计划项目(2014jnnk05)

摘　　要：目的研究去分支技术联合腔内修复技术治疗复杂型Stanford B型主动脉夹层的疗效及预后。方法选择2011年8月至2014年7月我院收治的43例复杂型Stanford B型主动脉夹层患者进行研究。给予所有患者一般治疗,然后再给予去分支技术联合腔内修复治疗。观察患者在术中的情况,包括死亡情况、病死率、住院时间,在术后进行为期3年的随访,对患者的随访情况进行统计,主要包括并发症和死亡情况。结果 43例患者在住院期间的病死率为4.65%(2/43),住院时间为(18.32±8.2)d。在术后进行为期3年的随访,所有患者中没有肾功能不全、偏瘫、截瘫现象出现,在3年期间总的死亡率为4.65%(2/43),其总体死亡率较低。结论去分支技术联合腔内修复技术治疗复杂型Stanford B型主动脉夹层,其疗效良好,明显提高了患者的近、中期生存率,有利于患者预后,值得广泛推广使用。Objective To study the response and prognosis of debranching technology combined endovascular repair complexity Stanford B aortic dissection. Methods From August 2011 to July 2014 in our hospital 43 cases of complexity Stanford B aortic dissection patients were studied. General treatment were given to all patients, and then gave a branch technology combined with endovascular repair on this basis of general treatment. The patients＇ conditions were observed, including death, mortality, length of stay. All patients were followed up in the postoperative of three years, and sophisticated the patients＇ situation, including complications and death. Results In 43 patients the hospital＇s mortality rate was 4.65% （2/43）, length of hospital stay was （18.32±8.2）d. In the postoperative follow-up period of three years, not patients had renal dysfunction, hemiplegia, paraplegia phenomenon during the 3-year, overall mortality rate was 4.65% （2/43）, the overall level of mortality was low. Conclusion Debranching technology combined endovascular repair complexity Stanford B aortic dissection, which has a good efficacy, and can significantly improve the survival rate of patients, the prognosis is conducive, so is worthy of promotion.

关 键 词：动脉瘤 夹层 去分支技术 腔内修复 

分 类 号：R654.3[医药卫生—外科学]